Organization
BECKWITH EMERGENCY PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
5052 BECKWITH RD, MT JULIET, TN 37122-4804
(973) 251-1132
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
12/09/2019
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