Organization
MARKSVILLE EMERGENCY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON WEISS (CEO)
(972) 934-3200
Entity
Organization
Contact information
Practice address
4231 HIGHWAY 1192, MARKSVILLE, LA 71351-4711
(318) 253-8611
Mailing address
17304 PRESTON RD, SUITE 555, DALLAS, TX 75252-5618
(972) 934-3200
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449431
—
LA
01
—
1900H1531Z
BC/BS
LA
Enumeration date
06/01/2006
Last updated
08/22/2020
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