1710185202 NPI number — TEXAS EMERGENCY ROOM SERVICES, PA

Table of content: (NPI 1710185202)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710185202 NPI number — TEXAS EMERGENCY ROOM SERVICES, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TEXAS EMERGENCY ROOM SERVICES, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710185202
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 13478
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19101-3478
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-355-0808
Provider Business Mailing Address Fax Number:
215-834-2862

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2601 DIMMITT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINVIEW
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79072-1833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-296-4282
Provider Business Practice Location Address Fax Number:
806-233-1886
Provider Enumeration Date:
07/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PROVASNIK
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERVISOR OF PROVIDER ENROLLMENT
Authorized Official Telephone Number:
800-355-0808

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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