1932573144 NPI number — PRECISION EMERGENCY PHYSICIANS PLLC

Table of content: ELIZABETH GEORGE M.D (NPI 1336132703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932573144 NPI number — PRECISION EMERGENCY PHYSICIANS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRECISION EMERGENCY PHYSICIANS PLLC
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:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1932573144
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5999 CUSTER RD
Provider Second Line Business Mailing Address:
SUITE 110-159
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75035-9302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-829-1058
Provider Business Mailing Address Fax Number:
281-836-6106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5999 CUSTER RD
Provider Second Line Business Practice Location Address:
SUITE 110-159
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75035-9302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-829-1058
Provider Business Practice Location Address Fax Number:
281-836-6106
Provider Enumeration Date:
11/25/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BEERS
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
MBR
Authorized Official Telephone Number:
325-829-1058

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)