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Organization
TEXAS EM-I MEDICAL SERVICES, PA
Active
Organization
TEXAS EM-I MEDICAL SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-4411
(214) 712-2487
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
364SE0003X
Emergency Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152242708
—
TX
Enumeration date
05/17/2006
Last updated
03/23/2023
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