Texas Em-I Medical Service, PA

NPI #1598963001 in Ft Worth, Texas

Provider Information

NPI Number: 1598963001
Entity Type: Organization
Organization Name: Texas Em-I Medical Service, PA
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1000 MONTGOMERY ST
City: Ft Worth
State: Texas
ZIP Code: 76107-2625
Phone: (817) 795-2100

Authorized Official

Name: JENNIFER PROVASNIK
Title: SUPERVISOR OF PROVIDER ENROLLMENT
Phone: (800) 355-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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