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Organization
CEC PARKDALE ER PHYSICIANS PLLC
Active
Organization
CEC PARKDALE ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRAXTON NEIMAN ESQ. (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
4117 S STAPLES ST, 140, CORPUS CHRISTI, TX 78411-5505
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 92036, SOUTHLAKE, TX 76092-0101
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/13/2016
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