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Organization

TWO RIVERS EMERGENCY PHYSICIANS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
5655 FRIST BLVD, HERMITAGE, TN 37076-2053
(973) 251-1132
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
10/25/2013
Last updated
12/05/2019
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