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NPI Code Detail

MEDICARE: EMERGENCY PROFESSIONAL SERVICES PC

MEDICARE: EMERGENCY PROFESSIONAL SERVICES PC
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 : 1518984210
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGENCY PROFESSIONAL SERVICES PC
Provider Business Mailing Address
First Line : PO BOX 202332
Second Line :
City : DALLAS
State : TX
Zip : 75320-2332
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Provider Business Practice Location Address
First Line : 1111 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2612
Country : US
Telephone Number : 954-939-5000
Fax Number : 877-250-6889
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : CHRISTOPHER KENNEDY
Credential :
Telephone Number : 207-807-9009
Provider Enumeration Date : 07/17/2006
Last Update Date : 05/29/2026

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Directions to “EMERGENCY PROFESSIONAL SERVICES PC ” Practice Location

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