Organization
EMCARE-DTXEMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
9440 POPPY DR, DALLAS, TX 75218-3652
(954) 838-2371
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U63M
BLUE CROSS
TX
Enumeration date
11/21/2006
Last updated
08/16/2019
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