Organization
MOMENTUM ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRAXTON NEIMAN ESQ. (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
5011 TROUP HWY, 100, TYLER, TX 75707-2562
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 93714, SOUTHLAKE, TX 76092-0116
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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