Organization
NES SOUTHWEST MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BLAKEMAN (PROVIDER ENROLLMENT)
(469) 557-6183
Entity
Organization
Contact information
Practice address
8960 HILLSIDE RD, AMARILLO, TX 79119-7323
(806) 351-6987
Mailing address
7300 STATE HIGHWAY 121 STE 370-374, MCKINNEY, TX 75070-1987
(469) 557-6183
(469) 640-6671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093487449
—
TX
Enumeration date
10/04/2021
Last updated
01/14/2025
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