Republic Emergency Services PA

NPI #1104875624 in Sherman, Texas

Provider Information

NPI Number
1104875624
Entity Type
Organization
Organization Name
Republic Emergency Services PA
Primary Specialty
Emergency Medicine
Enumeration Date
May 10, 2006
Last Updated
Jul 17, 2008

Practice Location

Address
500 N HIGHLAND AVE
State
Texas
ZIP Code
75092-7354
Phone
(903) 870-4609

Authorized Official

Name
KEVIN B STACKS, MD
Title
PRESIDENT
Phone
(903) 870-4609

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Nurse Practitioner
Emergency Medicine

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