Provider Demographics
NPI:1720604937
Name:SUMMIT EMERGENCY MEDICINE, PLLC
Entity Type:Organization
Organization Name:SUMMIT EMERGENCY MEDICINE, PLLC
Other - Org Name:CITRA URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-905-9660
Mailing Address - Street 1:7515 GREENVILLE AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3851
Mailing Address - Country:US
Mailing Address - Phone:214-206-1447
Mailing Address - Fax:469-808-0695
Practice Address - Street 1:606 GRAPEVINE HWY STE B
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2747
Practice Address - Country:US
Practice Address - Phone:682-477-3087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMIT EMERGENCY MEDICINE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-23
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty