Organization
ERCA COPPELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAXTON NEIMAN (MEMBER)
(940) 733-5206
Entity
Organization
Contact information
Practice address
750 S MACARTHUR BLVD, COPPELL, TX 75019-4200
(940) 733-5206
Mailing address
1429 WALTHAM DR, SOUTHLAKE, TX 76092-9605
(940) 733-5206
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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