Organization
CISTERNA EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72902
(479) 441-4000
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, DALLAS, TX 75240
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
08/20/2019
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