Phoenix Er Docs LLC

NPI #1063652444 in Coppell, Texas

Provider Information

NPI Number
1063652444
Entity Type
Organization
Organization Name
Phoenix Er Docs LLC
Primary Specialty
Clinic/Center - Emergency Care
Enumeration Date
Feb 25, 2009
Last Updated
Feb 25, 2009

Practice Location

Address
270 N DENTON TAP RD
Address 2
SUITE 250
State
Texas
ZIP Code
75019-2144
Phone
(972) 745-7601

Authorized Official

Name
DR. CHARLES O'HEARN, M.D.
Title
PRESIDENT
Phone
(972) 745-7601

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Emergency CareEmergency Care

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