Organization · Type 2 NPI

Professional Emergency Service Association of Desoto

Occupational Medicine Clinic/Center · Desoto, TX

NPI number 1114072550 Active

Practice location

911 N Hampton Rd, Suite 120
Desoto, TX 75115-3903

Fax (972) 283-4484

Mailing address

PO Box 153068
Irving, TX 75015-3068

Specialties and licenses

TaxonomyCodeLicense
Urgent Care Clinic/Center 261QU0200XNone listed
Occupational Medicine Clinic/Center Primary 261QX0100XNone listed

Occupational Medicine Clinic/Center: Definition to come...

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About NPI 1114072550

Professional Emergency Service Association of Desoto's National Provider Identifier is 1114072550, issued on Jan 24, 2007. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Desoto, TX. The record was last updated on Oct 28, 2013.