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Organization
TEXAS EMERGENCY ROOM SERVICES, PA
Active
Organization
TEXAS EMERGENCY ROOM SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PROVASNIK (SUPERVISOR OF PROVIDER ENROLLMENT)
(800) 355-0808
Entity
Organization
Contact information
Practice address
1551 STATE HIGHWAY 34 S, TERRELL, TX 75160-4833
(972) 551-5960
Mailing address
PO BOX 41548, PHILADELPHIA, PA 19101-1548
(800) 355-0808
(215) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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