Provider Demographics
NPI:1922370345
Name:PHYSICIANS EMERGENCY CARE ASSOCIATED OF NORTH TEXAS
Entity Type:Organization
Organization Name:PHYSICIANS EMERGENCY CARE ASSOCIATED OF NORTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-520-5743
Mailing Address - Street 1:4040 N CENTRAL EXPY
Mailing Address - Street 2:STE 600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3158
Mailing Address - Country:US
Mailing Address - Phone:214-520-5743
Mailing Address - Fax:214-520-5794
Practice Address - Street 1:1441 N BECKLEY AVE
Practice Address - Street 2:PECA
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:214-942-5733
Practice Address - Fax:214-942-6115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty