Organization · Type 2 NPI

Cec Southlake Er Physicians PLLC

Emergency Medical Services (Emergency Medicine) Physician · Southlake, TX

NPI number 1790192532 Active

Practice location

321 W Southlake Blvd Ste 140
Southlake, TX 76092-6186

Fax (817) 421-0036

Mailing address

PO Box 93866
Southlake, TX 76092-0118

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1790192532

Cec Southlake Er Physicians PLLC's National Provider Identifier is 1790192532, issued on Jul 14, 2014. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Southlake, TX. The record was last updated on Jul 14, 2014.