Provider Demographics
NPI:1922697556
Name:PARKDALE EMERGENCY PHYSICIANS, PLLC
Entity Type:Organization
Organization Name:PARKDALE EMERGENCY PHYSICIANS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLLC MEMBER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIEME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-851-6626
Mailing Address - Street 1:PO BOX 6040
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6040
Mailing Address - Country:US
Mailing Address - Phone:361-723-0226
Mailing Address - Fax:512-852-4625
Practice Address - Street 1:4141 S STAPLES ST STE 106
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2115
Practice Address - Country:US
Practice Address - Phone:361-991-0911
Practice Address - Fax:512-852-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty