MEDICARE: SUMMIT EMERGENCY HOLDINGS, 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
1	261QU0200X	Urgent Care Clinic/Center	N8527	TX

General Provider Information

NPI Number	:	1528474038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT EMERGENCY HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	6537 LINDEN LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1409
Country	:	US
Telephone Number	:	734-905-9660
Fax Number	:

Provider Business Practice Location Address
First Line	:	18101 PRESTON RD
Second Line	:	201
City	:	DALLAS
State	:	TX
Zip	:	75252-6602
Country	:	US
Telephone Number	:	972-584-9554
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CMO
Name	:	DR. NICK KARR
Credential	:	M.D.
Telephone Number	:	972-584-9554

Provider Enumeration Date	:	07/03/2014
Last Update Date	:	12/28/2023

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