PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING (NPI# 1669465159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669465159 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING |
| Other Organization Name | ECCARE HEALTH CENTER OF IRVING |
| Practice Address |
2233 E Grauwyler Rd Ste 110 Irving TX 75061-3239 |
| Mailing Address |
Po Box 153068 Irving TX 75015-3068 |
| Practice Telephone | 9726591234 |
| Practice Fax Number | 9722579748 |
| Mailing Telephone | 9726591234 |
| Mailing Fax Number | 9728270195 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | GREGORY P. ENNIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9726591234 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EcCare Health Center of Irving | Other Name - Individual/Organization |
| Street Address |
2233 E GRAUWYLER RD STE 110 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295079408 | Onsite Occmed Pa | Clinic/Center | 5910 N Macarthur Blvd, Suite 133, Irving, TX 75039-3835 | 2012-11-15 |
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|---|---|---|---|---|
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| 1720696263 | Sa Therapy LLC | Clinic/Center | 5414 Fredericksburg Rd Ste 240, San Antonio, TX 78229-3641 | 2020-07-21 |
| 1306493515 | Libra Ot Pllc | Clinic/Center | 3105 W 15th St Ste A-3, Plano, TX 75075-7700 | 2019-08-22 |
| 1932769825 | Crenshaw Occupational Practice, Pllc | Clinic/Center | 5030 Crenshaw Rd Ste 124, Pasadena, TX 77505-3141 | 2019-06-13 |
| 1699237800 | Prime Occupational Physicians - Texas | Clinic/Center | 3749 Highway 69 N, Beaumont, TX 77705-1466 | 2019-04-05 |
| 1184148280 | Usa Federal | Clinic/Center | 1123 E 9th St Ste 14, Mission, TX 78572-4404 | 2017-07-31 |
| 1770022469 | Swelling Treatment Center, LLC | Clinic/Center | 12606 Greenville Ave Ste 205, Dallas, TX 75243-1927 | 2017-02-15 |
| 1972950947 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1201 Leopard St, 6th Floor, Corpus Christi, TX 78401-2120 | 2016-05-19 |
| 1477919389 | Lymphedema Medical Center, LLC | Clinic/Center | 5410 Fredericksburg Rd Ste 102, San Antonio, TX 78229-3550 | 2016-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.