Organization
EMERGENCY CARE USA
Active
Other names
Southlake Freestanding Emergency Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J O'HEARN M.D. (OWNER)
(817) 442-0577
Entity
Organization
Contact information
Practice address
711 E SOUTHLAKE BLVD STE 300, SOUTHLAKE, TX 76092-6370
(817) 442-0577
(817) 442-0527
Mailing address
711 E SOUTHLAKE BLVD STE 300, SOUTHLAKE, TX 76092-6370
(817) 442-0577
(817) 442-0527
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160018
TX
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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