Organization
EMERGENCY MEDICAL SERVICES GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN HORAN M.D. (PRESIDENT)
(479) 441-5011
Entity
Organization
Contact information
Practice address
1001 TOWSON AVE, ER DEPT., FORT SMITH, AR 72901-4921
(479) 441-5011
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04705239
—
MS
05
—
100727020A
—
OK
05
—
105698002
—
AR
01
—
172165800
DEPT. OF LABOR
AR
Enumeration date
03/31/2006
Last updated
06/27/2008
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