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NPI Code Detail

MEDICARE: SUMMIT EMERGENCY PHYSICIANS PLLC

MEDICARE: SUMMIT EMERGENCY PHYSICIANS PLLC
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 PhysicianN8527TX

General Provider Information

NPI Number : 1164812004
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT EMERGENCY PHYSICIANS PLLC
Provider Business Mailing Address
First Line : 18101 PRESTON RD
Second Line : SUITE 201
City : DALLAS
State : TX
Zip : 75252-6602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7502 GREENVILLE AVE
Second Line :
City : DALLAS
State : TX
Zip : 75231-3802
Country : US
Telephone Number : 734-905-9660
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NICK KARR
Credential : MD
Telephone Number : 734-905-9660
Provider Enumeration Date : 01/30/2015
Last Update Date : 01/30/2015

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Directions to “SUMMIT EMERGENCY PHYSICIANS PLLC ” Practice Location

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