Organization
OLD HICKORY LANE EMERGENCY PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
355 NEW SHCKL IS RD, HENDERSONVILLE, TN 37075-2479
(615) 338-1000
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
04/19/2021
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