Emergency Medicine Doctor Of Waco, Pa in Waco - Emergency Medicine

Emergency Medicine Doctor Of Waco, Pa - NPI 1548466766

Emergency Medicine Doctor Of Waco, Pa is a Emergency Medicine in Waco, Texas. Emergency Medicine Doctor Of Waco, Pa practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Emergency Medicine Doctor Of Waco, Pa is 1548466766. The last update date is 2014-07-29.

Emergency Medicine Doctor Of Waco, Pa's current location address is 3721 Herwol Ave, Waco, Texas. You can contact this provider via phone number 2544938337. The mailing address for Emergency Medicine Doctor Of Waco, Pa is 3721 Herwol Ave, Waco, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Emergency Medicine Doctor Of Waco, Pa
Address 3721 Herwol Ave, Waco, Texas
Phone Number 2544938337
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER-PRES
Authorized Official Name Pettit James
Credentials DO
Telephone Number 2547529821

NPI Number Detail

NPI Number 1548466766
Provider Enumeration Date 2007-06-25
Last Updated Date 2014-07-29

Provider Mailing Address Detail

Address 3721 Herwol Ave
City Waco
State Texas (TX)
Post Code 767107218
Phone Number 2544938337
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No F9947
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
167263601 TX --

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FAQs about Emergency Medicine Doctor Of Waco, Pa

What is the unique provider identifier assigned to Emergency Medicine Doctor Of Waco, Pa?

The Emergency Medicine Doctor Of Waco, Pa has been issued the NPI (National Provider Identifier) 1548466766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Emergency Medicine Doctor Of Waco, Pa located?

The Emergency Medicine Doctor Of Waco, Pa is located at 3721 Herwol Ave, Waco, TX 767107218.

What is Emergency Medicine Doctor Of Waco, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Emergency Medicine Doctor Of Waco, Pa's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date did the Emergency Medicine Doctor Of Waco, Pa receive the assignment of its 1548466766 from the Centers for Medicare & Medicaid Services?

The Emergency Medicine Doctor Of Waco, Pa was issued its 1548466766 by the Centers for Medicare & Medicaid Services on 2007-06-25.

As of what date was the information pertaining to Emergency Medicine Doctor Of Waco, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Emergency Medicine Doctor Of Waco, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-29.

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