Provider Demographics
NPI:1750652491
Name:OMEGA EMERGENCY PHYSICIANS PLLC
Entity Type:Organization
Organization Name:OMEGA EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-443-8131
Mailing Address - Street 1:PO BOX 1144
Mailing Address - Street 2:DEPT 700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77251-1144
Mailing Address - Country:US
Mailing Address - Phone:214-443-8131
Mailing Address - Fax:214-443-8392
Practice Address - Street 1:5150 LEMMON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-6423
Practice Address - Country:US
Practice Address - Phone:214-443-8131
Practice Address - Fax:214-443-8392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty