Provider Demographics
NPI:1912770041
Name:PROCARE EMERGENCY PHYSICIANS FAIRFIELD PLLC
Entity type:Organization
Organization Name:PROCARE EMERGENCY PHYSICIANS FAIRFIELD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-277-2460
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:325-277-2460
Mailing Address - Fax:
Practice Address - Street 1:15103 MASON RD STE E-1
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6755
Practice Address - Country:US
Practice Address - Phone:832-619-7937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty