Organization
NORTH TEXAS ER I LLC
Active
Other names
EXCEL ER
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KWON M.D. (OWNER)
(817) 594-0911
Entity
Organization
Contact information
Practice address
730 ADAMS DR, WEATHERFORD, TX 76086-6266
(817) 594-0911
(817) 594-7724
Mailing address
730 ADAMS DR, WEATHERFORD, TX 76086-6266
(817) 594-0911
(817) 594-7724
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160167
TDSHS FSEC LICENSE
TX
Enumeration date
01/08/2015
Last updated
05/15/2015
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