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Organization

DEL MAR EMERGENCY PHYSICIANS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization

Contact information

Practice address
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9511
(325) 947-6550
Mailing address
PO BOX 952255, DALLAS, TX 75395-2255
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004LZ
BLUE SHIELD
TX
05
200907801
TX
Enumeration date
01/12/2009
Last updated
05/21/2009
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