Organization
HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(469) 401-2386
(214) 712-2444
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/11/2014
Last updated
03/08/2021
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