| Emc Your Private Er Inc | |
|
8245 Precinct Line Rd Suite 100 North Richland Hills TX 76180-1674 | |
| (817) 503-8800 | |
| (817) 503-8801 |
| Full Name | Emc Your Private Er Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8245 Precinct Line Rd, North Richland Hills, Texas |
| Authorized Official Name and Position | Gregory Gardner (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8178864656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emc Your Private Er Inc 8245 Precinct Line Rd Suite 100 North Richland Hills TX 76180-1674 Ph: (817) 503-8800 | Emc Your Private Er Inc 8245 Precinct Line Rd Suite 100 North Richland Hills TX 76180-1674 Ph: (817) 503-8800 |
| NPI Number | 1760691968 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 01/20/2020 |
| Medicare PECOS PAC ID | 0244381523 |
|---|---|
| Medicare Enrollment ID | O20090626000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760691968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J3478 (Texas) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Frank R Genco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467525808 PECOS PAC ID: 0143210229 Enrollment ID: I20040512001496 |
| Provider Name | Gregory G Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080744 PECOS PAC ID: 3375527229 Enrollment ID: I20040621000237 |
| Provider Name | Douglas L Kehres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609108679 PECOS PAC ID: 5092967711 Enrollment ID: I20150916003332 |
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