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Organization
TOM GREEN EMERGENCY MEDICINE ASSOCIATES PA
Active
Organization
TOM GREEN EMERGENCY MEDICINE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAWLOWSKI MD (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
09/11/2025
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