Organization Name: | TRINITY EMERGENCY MEDICINE ASSOCIATES PA |
NPI Number: | 1164451886 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL A PAWLOWSKI (PRESIDENT) |
Mailing Address: | 317 Prospect Dr Trinity |
State: | TX US |
Postal Code: | 758626202 |
Phone Number: | 9367441121 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 09/21/2011 |
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: |