Southlake Emergicare Pllc

NPI #1598172033 in Southlake, Texas

Provider Information

NPI Number: 1598172033
Entity Type: Organization
Organization Name: Southlake Emergicare Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 16, 2014
Last Updated: Nov 7, 2019

Practice Location

Address: 1545 E SOUTHLAKE BLVD
Address 2: ER DEPT
City: Southlake
State: Texas
ZIP Code: 76092-6422
Phone: (817) 748-8700

Authorized Official

Name: DANIEL E PECKENPAUGH, MD
Title: DIRECTOR
Phone: (877) 485-4474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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