Republic Emergency Services Pa

LBN: Republic Emergency Services Pa
Republic Emergency Services Pa is an health care organization with primary practice located at 500 N Highland Ave , Sherman TX 75092-7354. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Republic Emergency Services Pa can be contacted via phone (903) 870-4609, or through Stacks, Kevin B via phone (903) 870-4609.

Contact Information

Primary practice address
500 N Highland Ave Sherman TX 75092-7354
Phone: (903) 870-4609
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stacks, Kevin B Doctor of Medicine (MD)
Phone: (903) 870-4609

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1104875624
LBN Legal business name Republic Emergency Services Pa
DBA Doing business as
Authorized official Stacks, Kevin B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Jul 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104875624 NPPES
Texas Other 00U33U BLUE CROSS BLUE SHIELD
Texas MEDICAID 170359701 BLUE CROSS BLUE SHIELD

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