Organization
STEPHENS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST R PARISI (CEO)
(254) 559-2241
Entity
Organization
Contact information
Practice address
200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
(254) 559-2241
(254) 559-6536
Mailing address
200 S GENEVA ST, BRECKENRIDGE, TX 76424-4702
(254) 559-2241
(254) 559-6536
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JS82
BCBS
TX
05
—
083383202
—
TX
Enumeration date
05/19/2006
Last updated
09/24/2013
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