Basic Information
| Provider Information | |||||||||
| NPI: | 1558868786 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TROY HOSPITAL STAFFING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17304 PRESTON RD STE 1400 | ||||||||
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| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752525633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8669318882 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1330 HIGHWAY 231 S | ||||||||
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| City: | TROY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 360813058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3346705000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2018 | ||||||||
| LastUpdateDate: | 02/20/2020 | ||||||||
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| AuthorizedOfficialLastName: | WEISS | ||||||||
| AuthorizedOfficialFirstName: | RON | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9729343200 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | EMERGENCY STAFFING SOLUTIONS, INC. | ||||||||
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| NPICertificationDate: | 02/20/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.