PROVIDER ON DEMAND LLC NPI 1013770148

NPI Details

PROVIDER ON DEMAND LLC is an emergency medicine in Lorena, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PROVIDER ON DEMAND LLC NPI is 1013770148. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Provider On Demand, Llc.

The provider's business location address is:

1199 OLD LORENA RD
LORENA, TX
ZIP 76655-176
Phone: (757) 642-5062
Fax: (737) 270-7540

The provider's authorized official is Brett Marvel .
The authorized official title is Coo and has the following contact phone number (737) 747-2200.

The CLIA number assigned to this NPI record is 45D2299187 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: