Emerus Physician Group Id LLC

NPI #1114430279 in The Woodlands, Texas

Provider Information

NPI Number: 1114430279
Entity Type: Organization
Organization Name: Emerus Physician Group Id LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 13, 2017
Last Updated: Nov 13, 2017

Practice Location

Address: 8686 NEW TRAILS DR STE 100
City: The Woodlands
State: Texas
ZIP Code: 77381-1176
Phone: (713) 637-1146

Authorized Official

Name: DR. JOHN D MIDDLEBROOK, MD
Title: CHIEF MEDICAL OFFICER
Phone: (713) 637-1003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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