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NPI Code Detail

MEDICARE: DOUBLET PEAK EMERGENCY PHYSICIANS LLC

MEDICARE: DOUBLET PEAK EMERGENCY PHYSICIANS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1043619018
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUBLET PEAK EMERGENCY PHYSICIANS LLC
Provider Business Mailing Address
First Line : 13737 NOEL RD
Second Line : STE 1600
City : DALLAS
State : TX
Zip : 75240-1331
Country : US
Telephone Number : 469-401-2386
Fax Number : 214-712-2444
Provider Business Practice Location Address
First Line : 8300 RED BUG LAKE RD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-6801
Country : US
Telephone Number : 407-359-6007
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : TERRY MEADOWS
Credential : M.D.
Telephone Number : 469-401-2386
Provider Enumeration Date : 08/15/2014
Last Update Date : 08/15/2014

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Directions to “DOUBLET PEAK EMERGENCY PHYSICIANS LLC ” Practice Location

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