Sparkling Sea Emergency Physicians Pllc in Dallas - Physician Assistant
Sparkling Sea Emergency Physicians Pllc - NPI 1467549014
Sparkling Sea Emergency Physicians Pllc is a Physician Assistant in Dallas, Texas. Sparkling Sea Emergency Physicians Pllc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sparkling Sea Emergency Physicians Pllc is 1467549014. The last update date is 2014-06-04.
Sparkling Sea Emergency Physicians Pllc's current location address is 13737 Noel Rd, Dallas, Texas. You can contact this provider via phone number 4694012386 and fax number 2147122444. The mailing address for Sparkling Sea Emergency Physicians Pllc is 13737 Noel Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sparkling Sea Emergency Physicians Pllc |
|---|---|
| Address | 13737 Noel Rd, Dallas, Texas |
| Phone Number | 4694012386 |
| Fax Number | 2147122444 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gatewood H. Joeph |
| Credentials | MD |
| Telephone Number | 4694012386 |
NPI Number Detail
| NPI Number | 1467549014 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2014-06-04 |
Provider Mailing Address Detail
| Address | 13737 Noel Rd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752401331 |
| Phone Number | 4694012386 |
| Fax Number | 2147122444 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0062NZ | TX | BLUE SHIELD | |
| 186699801 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sparkling Sea Emergency Physicians Pllc by the Centers for Medicare & Medicaid Services?
The Sparkling Sea Emergency Physicians Pllc has been assigned the NPI (National Provider Identifier) 1467549014 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Sparkling Sea Emergency Physicians Pllc is located?
The Sparkling Sea Emergency Physicians Pllc is situated at the following address: 13737 Noel Rd, Dallas, TX, 752401331.
What is the Sparkling Sea Emergency Physicians Pllc's specialty and taxonomy code?
The Sparkling Sea Emergency Physicians Pllc's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Sparkling Sea Emergency Physicians Pllc's 1467549014 issued?
The Sparkling Sea Emergency Physicians Pllc's 1467549014 was issued on 2006-10-06.
As of what date was the information pertaining to Sparkling Sea Emergency Physicians Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sparkling Sea Emergency Physicians Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-04.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA