MEDICARE: ERCA 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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1386980647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERCA PHYSICIANS PLLC

Provider Business Mailing Address
First Line	:	6501 PRESTON RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2610
Country	:	US
Telephone Number	:	213-268-1894
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E ELDORADO PKWY
Second Line	:	SUITE 104
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5999
Country	:	US
Telephone Number	:	213-268-1894
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MICHAEL C KUTSON
Credential	:	MD
Telephone Number	:	213-268-1894

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	03/31/2015

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Directions to “ERCA PHYSICIANS PLLC ” Practice Location

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