Organization
1551 W CENTRAL ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(713) 591-2256
Entity
Organization
Contact information
Practice address
1551 W CENTRAL AVE, TEMPLE, TX 76504-4005
(254) 282-0516
Mailing address
910 S KIMBALL AVE, SOUTHLAKE, TX 76092-9005
(817) 527-3403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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