Provider Demographics
NPI:1679020853
Name:EMERGENCY HOSPITALIST PLLC
Entity Type:Organization
Organization Name:EMERGENCY HOSPITALIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-331-9048
Mailing Address - Street 1:1009 OAKWOOD LN # 120174
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-6805
Mailing Address - Country:US
Mailing Address - Phone:972-331-9048
Mailing Address - Fax:888-618-0062
Practice Address - Street 1:1009 OAKWOOD LN # 120174
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-6805
Practice Address - Country:US
Practice Address - Phone:972-331-9048
Practice Address - Fax:888-618-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4906208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty