| Organization Name: | PHOENIX ER DOCS LLC |
| NPI Number: | 1063652444 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES O'HEARN (PRESIDENT) |
| Mailing Address: | 270 N Denton Tap Rd Suite 250 Coppell |
| State: | TX US |
| Postal Code: | 750192144 |
| Phone Number: | 9727457601 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2009 |
| NPI Last Update Date: | 02/25/2009 |
| 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: | |