Organization
EC POTRANCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SEAY M.D. (MANAGING PARTNER)
(281) 784-1500
Entity
Organization
Contact information
Practice address
9255 DALLAS PKWY, 110, FRISCO, TX 75033-4211
(281) 784-1500
(281) 209-8930
Mailing address
9255 DALLAS PKWY, 110, FRISCO, TX 75033-4211
(281) 784-1500
(281) 209-8930
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH135E
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/18/2014
Last updated
11/19/2014
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