ECSC II, PA


Address: 2800 S Hulen St, Suite 100, Fort Worth, TX 76109-1504
Phone: 2143611443

ECSC II, PA (NPI# 1851687644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851687644
Entity Type Organization
Organization Name ECSC II, PA
Practice Address 2800 S Hulen St
Suite 100
Fort Worth
TX 76109-1504
Mailing Address 5421 La Sierra Dr
Dallas
TX 75231-4107
Practice Telephone 2143611443
Practice Fax Number 2143688365
Mailing Telephone 2143611433
Mailing Fax Number 2143688365
Enumeration Date 2011-06-21
Last Update Date 2011-06-21
Authorized Official Name WESLEY K HERMAN (PRESIDENT, OWNER)
Authorized Official Telephone 2143611443
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1100X Technician/Technologist
Specialization: Ophthalmic
Eye and Vision Services Providers

Office Location

Street Address 2800 S HULEN ST
SUITE 100
City FORT WORTH
State TX
Zip Code 76109-1504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548229164 Susan K Linder Md Pa Physical Medicine & Rehabilitation 2800 S Hulen St, Suite 203, Fort Worth, TX 76109-1504 2006-03-22
1376894337 Lee Norris Legrice Social Worker 2800 S Hulen St, Suite 203, Fort Worth, TX 76109-1504 2012-09-30
1821058132 Susan Keith Linder Physical Medicine & Rehabilitation 2800 S Hulen St, Suite 203, Fort Worth, TX 76109-1504 2006-03-23

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Taxonomy Information

Taxonomy Code 156FX1100X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ophthalmic

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WORTH
Zip Code 76109

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Dataset Information

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.

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