Organization Name: | STERLING EMERGENCY SERVICES, PA |
NPI Number: | 1073563904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL C PINELL (PRESIDENT) |
Mailing Address: | 1 Saint Marks Pl La Grange |
State: | TX US |
Postal Code: | 789451250 |
Phone Number: | 9048051300 |
Fax Number: | 9048051302 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |