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1922546936
ESS OF PORT LAVACA LLC
PORT LAVACA, TX
NPI
1922546936
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Entity Type
Organization
Authorized Contact
RON WEISS
CEO
866-931-8882
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
ESS OF PORT LAVACA LLC
815 N VIRGINIA ST
PORT LAVACA, TX 77979-3025
Phone number: 361-552-6713
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Mailing Address
ESS OF PORT LAVACA LLC
17304 PRESTON RD SUITE 1400
DALLAS, TX 75252-5618
Phone number: 866-931-8882
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