Organization
CEC LA VERNIA ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRAXTON NEIMAN ESQ. (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
202 S FM 1346, 102, LA VERNIA, TX 78121-4282
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 92416, SOUTHLAKE, TX 76092-0104
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
01/05/2016
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