Organization
INNOVATIVE EMERGENCY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A ARAI MD (OWNER DIRECTOR)
(972) 963-3333
Entity
Organization
Contact information
Practice address
12505 LEBANON RD, FRISCO, TX 75035-8298
(972) 963-3333
Mailing address
PO BOX 24088, FORT WORTH, TX 76124-1088
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086LE
BLUE CROSS BLUE SHIELD
TX
01
—
DC1039
RAILROAD MEDICARE
TX
Enumeration date
05/08/2006
Last updated
10/26/2007
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