Organization
HIGHLAND VILLAGE MEDICAL CENTER
Active
Parent organization
FIRST CHOICE EMERGENCY ROOM
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CHOICE EMERGENCY ROOM
Authorized official
MR. TIM FIELDING (CFO)
(972) 899-6637
Entity
Organization
Contact information
Practice address
3160 JUSTIN RD, HIGHLAND VILLAGE, TX 75077-7049
(972) 899-6637
Mailing address
PO BOX 840795, DALLAS, TX 75284-0795
(972) 899-6637
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434148
JACHO
TX
Enumeration date
08/25/2015
Last updated
09/29/2015
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