Organization
EMCC AZLE, LLC
Active
Other names
Encore Medical Centers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NEWSOM (PRESIDENT)
(469) 830-8200
Entity
Organization
Contact information
Practice address
611 NORTHWEST PKWY, AZLE, TX 76020-2915
(817) 270-0777
(817) 270-0778
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
—
—
Other
Enumeration date
11/12/2018
Last updated
09/26/2024
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