Organization
C3EDF1, LLC
Active
Other names
Code 3 ER at DFW Airport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE E DE MOOR MD (CEO)
(469) 320-9820
Entity
Organization
Contact information
Practice address
2390 INNOVATION DR., SUITE 100, DFW AIRPORT, TX 75261-9428
(214) 997-1940
(214) 997-1941
Mailing address
5300 TOWN AND COUNTRY BLVD STE 260, FRISCO, TX 75034-6913
(469) 208-5297
(214) 260-0707
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160362
TX
Other
Enumeration date
05/30/2017
Last updated
07/09/2018
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