Organization
EMCC WEATHERFORD ER PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NEWSOM (PRESIDENT)
(469) 830-8200
Entity
Organization
Contact information
Practice address
730 ADAMS DR, WEATHERFORD, TX 76086-6266
(817) 594-0911
(817) 594-7724
Mailing address
2300 MATLOCK RD STE 35, MANSFIELD, TX 76063-5018
(469) 830-8200
(469) 830-8201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
Other
Enumeration date
05/06/2019
Last updated
01/09/2023
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