Unknown Individual – Emergency Medicine Physician, NPI 1457336141
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
156, Jellico Circle, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 760926804
Phone:
Type: Mailing
8245, Precinct Line Road, North Richland Hills, Tarrant County, Texas, 76182, United States
SUITE #100
NORTH RICHLAND HILLS, TX 761801672
Phone: (817) 503-8800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76092)
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