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PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING NPI 1669465159


NPI Information

NPI: 1669465159
Provider Name: PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING

Other Name: ECCARE HEALTH CENTER OF IRVING

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 45D2131467

Address:
2233 E GRAUWYLER RD STE 110
IRVING, TX
ZIP 75061
Phone: (972) 659-1234
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PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING is an occupational medicine clinic center in Irving, TX. PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING NPI is 1669465159. The provider is registered as an organization entity type.
The provider Other Name Is Eccare Health Center Of Irving.

The provider's business location address is:

2233 E GRAUWYLER RD STE 110
IRVING, TX
ZIP 75061-239
Phone: (972) 659-1234
Fax: (972) 257-9748

The provider's authorized official is Gregory P. Ennis .
The authorized official title is Medical Director and has the following contact phone number (972) 659-1234.

The CLIA number assigned to this NPI record is 45D2131467 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 11/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0100XClinic/CenterOccupational MedicineTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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