Provider Demographics
NPI:1629813423
Name:PROCARE EMERGENCY PHYSICIANS HIGHLAND PARK PLLC
Entity type:Organization
Organization Name:PROCARE EMERGENCY PHYSICIANS HIGHLAND PARK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:PEARSALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-744-9435
Mailing Address - Street 1:101 W RENNER RD STE 140
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2028
Mailing Address - Country:US
Mailing Address - Phone:281-744-9435
Mailing Address - Fax:
Practice Address - Street 1:5150 LEMMON AVE STE 108
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-6428
Practice Address - Country:US
Practice Address - Phone:214-443-8131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care