Emergency Pediatric Physician Mgmt Llc
LBN: Emergency Pediatric Physician Mgmt Llc
Emergency Pediatric Physician Mgmt Llc is an health care organization with primary practice located at 520 Madison Oak Peds - Emergency Room, San Antonio TX 78258-3913. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as the primary health care specialty.
Emergency Pediatric Physician Mgmt Llc can be contacted via phone (210) 297-4050, or through Potyka, James S. via phone (210) 495-9860.
Contact Information
Primary practice address
520 Madison Oak Peds - Emergency Room
San Antonio TX 78258-3913
Phone: (210) 297-4050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X |
Profile Details
| NPI number | 1508814385 |
|---|---|
| LBN Legal business name | Emergency Pediatric Physician Mgmt Llc |
| DBA Doing business as | |
| Authorized official | Potyka, James S. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 13th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508814385 | NPPES |
| Texas | MEDICAID | 174511901 | |
| Texas | Other | 0030MS |
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