# CAMP BOWIE ER PHYSICIANS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922432889
- **Authorized official:** JOHN NEIMAN J.D. (GENERAL COUNSEL)
- **Authorized official phone:** (817) 421-0035

## Contact information

- **Practice address:** 6006 CAMP BOWIE BLVD, FT WORTH, TX 76116-5620
- **Practice address phone:** (817) 421-0035
- **Practice address fax:** (817) 421-0036
- **Mailing address:** PO BOX 92065, SOUTHLAKE, TX 76092-0101
- **Mailing address phone:** (817) 421-0035
- **Mailing address fax:** (817) 421-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 08/28/2013