Organization
PHOENIX ER DOCS LLC
Active
Other names
Phoenix ER Docs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES O'HEARN M.D. (PRESIDENT)
(972) 745-7601
Entity
Organization
Contact information
Practice address
270 N DENTON TAP RD, SUITE 250, COPPELL, TX 75019-2144
(972) 745-7601
Mailing address
270 N DENTON TAP RD, SUITE 250, COPPELL, TX 75019-2144
(972) 745-7601
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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