Organization
STREAMBED EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(954) 838-2371
Mailing address
13737 NOEL RD, 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
08/12/2019
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