OrganizationActive
Cec Southlake Er Physicians PLLC
NPI 1790192532 · Emergency Medical Services (Emergency Medicine) Physician · Southlake, TX
Provider details
- NPI number
- 1790192532
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Neiman, General Counsel(817) 421-0034
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
321 W Southlake Blvd Ste 140
Southlake, TX 76092-6186
Phone: (817) 421-0034
Fax: (817) 421-0036
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 93866
Southlake, TX 76092-0118
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2014-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.