Organization
EMERGIGROUP PHYSICIAN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GRIMES (CFO)
(615) 551-6611
Entity
Organization
Contact information
Practice address
16655 SOUTHWEST FWY, SUGAR LAND, TX 77479-2329
(281) 274-7000
Mailing address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(629) 203-7320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018LW
BLUE CROSS BLUE SHIELD
TX
05
—
168932502
—
TX
01
—
DB7666
RAIL ROAD MEDICARE
TX
Enumeration date
05/20/2006
Last updated
01/27/2023
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