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Organization
PERMIAN BASIN ER IV
Active
Organization
PERMIAN BASIN ER IV
Active
Other names
EXCEL ER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER KWON M.D. (MANAGER)
(281) 658-1078
Entity
Organization
Contact information
Practice address
4157 BUFFALO GAP RD, ABILENE, TX 79605-7233
(281) 658-1078
Mailing address
4157 BUFFALO GAP RD, ABILENE, TX 79605-7233
(281) 658-1078
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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