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Organization
PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF BEDFORD
Active
Organization
PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF BEDFORD
Active
Other names
EcCare Mobile Health Association
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY P ENNIS M.D. (MEDICAL DIRECTOR)
(972) 283-0444
Entity
Organization
Contact information
Practice address
911 N HAMPTON RD, SUITE 120, DESOTO, TX 75115-3903
(972) 283-0444
(972) 827-0195
Mailing address
PO BOX 153068, IRVING, TX 75015-3068
(972) 659-1234
(972) 827-0195
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
81260003
TX
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/25/2010
Last updated
10/28/2013
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