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NPI Code Detail

MEDICARE: WARTHAN CREEK EMERGENCY PHYSICIANS, A MEDICAL CORPORATION

MEDICARE: WARTHAN CREEK EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
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 : 1841475332
Entity Type Code : Organization
Provider Name (Legal Business Name) : WARTHAN CREEK EMERGENCY PHYSICIANS, A MEDICAL CORPORATION
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 :
Provider Business Practice Location Address
First Line : 1191 PHELPS AVE
Second Line :
City : COALINGA
State : CA
Zip : 93210-9609
Country : US
Telephone Number : 559-935-6400
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHARLES T MITCHELL
Credential : M.D.
Telephone Number : 469-401-2386
Provider Enumeration Date : 01/03/2008
Last Update Date : 12/23/2013

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Directions to “WARTHAN CREEK EMERGENCY PHYSICIANS, A MEDICAL CORPORATION ” Practice Location

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