# PERMIAN EMERGENCY MANAGEMENT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134294317
- **Authorized official:** LAWRENCE A WILSON (DIRECTOR)
- **Authorized official phone:** (432) 686-5252

## Contact information

- **Practice address:** 2200 W ILLINOIS AVE, MIDLAND, TX 79701-6407
- **Practice address phone:** (432) 685-1111
- **Mailing address:** PO BOX 960439, OKLAHOMA CITY, OK 73196-0439
- **Mailing address phone:** (800) 684-0052
- **Mailing address fax:** (405) 844-1794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 05/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 187698901 | — | TX |
| 01 | — | DG3172 | RAILROAD MEDICARE | TX |