Organization
ERLC PHYSICIAN STAFFING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY ALLEN ANTILL DO (MBR)
(713) 252-1551
Entity
Organization
Contact information
Practice address
2530 GULF FWY S, LEAGUE CITY, TX 77573-6743
(281) 337-7500
(281) 836-6106
Mailing address
203 HOLLY SPRINGS DR, FRIENDSWOOD, TX 77546-4630
(713) 252-1551
(281) 836-6106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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