Organization
CEC SOUTHLAKE ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEIMAN ESQ. (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
321 W SOUTHLAKE BLVD STE 140, SOUTHLAKE, TX 76092-6186
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 93866, SOUTHLAKE, TX 76092-0118
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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