Organization
AEGIS EMERGENCY PHYSICIANS GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GLEN BLASCHKE II MD (MANAGER)
(615) 979-9453
Entity
Organization
Contact information
Practice address
1490 FM 2920 STE G 528, TOMBALL, TX 77377
(817) 451-4208
(817) 563-3699
Mailing address
5400 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-5048
(615) 979-9453
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K2650
TX
Other
Enumeration date
10/08/2014
Last updated
10/13/2021
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