| Organization Name: | COPPELL ERCARE FACILITY, L.P. |
| NPI Number: | 1013118728 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES J O'HEARN (PRESIDENT) |
| Mailing Address: | 651 N Denton Tap Rd Ste 100 Coppell |
| State: | TX US |
| Postal Code: | 750192010 |
| Phone Number: | 9728997000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |