| NPI | 1366429821 |
|---|---|
| Other Name | FREMONT EMERGENCY SERVICES (MANDAVIA), LTD. |
| Entity Type | Organization |
| Authorized Contact | ASHLIE N DAVIS Manager 281-384-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-04-01 |