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Jeremiah Daniel Pavelka, MD
Emergency Medicine Physician in Fort Worth, Texas
NPI 1902366370

Jeremiah Daniel Pavelka is a Emergency Medicine Physician based in Mesa, TX. Jeremiah Daniel Pavelka practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Jeremiah Daniel Pavelka is 1902366370 and holds a License No. T2715 (Texas).

The current practice location address for Jeremiah Daniel Pavelka is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-8840.

Location: 1500 S Main St, Fort Worth, TX, 85203-5802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902366370
Provider Name
Jeremiah Daniel Pavelka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 85203-5802
Phone Number
817-702-8840
Fax Number
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-8840
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-8840
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
T2715 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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