Organization
UPTOWN ER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CRADEUR (MANAGING PARTNER)
(512) 392-7800
Entity
Organization
Contact information
Practice address
3607 OAK LAWN AVE, STE 100, DALLAS, TX 75219-4743
(214) 217-1818
Mailing address
3607 OAK LAWN AVE, STE 100, DALLAS, TX 75219-4743
(214) 217-1818
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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