Organization
2013 PEARL ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B NEIMAN (GENERAL COUSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
2015 BROADWAY ST, SAN ANTONIO, TX 78215-1117
(817) 527-3403
(817) 527-3445
Mailing address
PO BOX 93044, SOUTHLAKE, TX 76092-1044
(817) 527-3403
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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