Organization
PERMIAN EMERGENCY MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A WILSON (DIRECTOR)
(432) 686-5252
Entity
Organization
Contact information
Practice address
2200 W ILLINOIS AVE, MIDLAND, TX 79701-6407
(432) 685-1111
Mailing address
PO BOX 960439, OKLAHOMA CITY, OK 73196-0439
(800) 684-0052
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187698901
—
TX
01
—
DG3172
RAILROAD MEDICARE
TX
Enumeration date
11/22/2006
Last updated
05/14/2013
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