Stat Med P.a.

NPI #1932116027 in Georgetown, Texas

Provider Information

NPI Number
1932116027
Entity Type
Organization
Organization Name
Stat Med P.a.
Primary Specialty
Emergency Medicine
Enumeration Date
Aug 1, 2006
Last Updated
Feb 26, 2008

Practice Location

Address
902B N AUSTIN AVE
State
Texas
ZIP Code
78626-4333
Phone
(521) 930-7828

Authorized Official

Name
DANA L EVANS III
Title
PROVIDER ENROLLMENT REP
Phone
(270) 744-9600

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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