Provider Demographics
NPI:1003925298
Name:EMMAR PHYSICIANS, P.A.
Entity Type:Organization
Organization Name:EMMAR PHYSICIANS, P.A.
Other - Org Name:EMMAR OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEE-AWAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-572-8380
Mailing Address - Street 1:3650 W WHEATLAND RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3494
Mailing Address - Country:US
Mailing Address - Phone:972-572-8380
Mailing Address - Fax:972-572-8387
Practice Address - Street 1:3650 W WHEATLAND RD
Practice Address - Street 2:SUITE B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3494
Practice Address - Country:US
Practice Address - Phone:972-572-8380
Practice Address - Fax:972-572-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0063GMOtherBCBS
TX0063GMOtherBCBS