Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Father of Waters Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1194020248

Father of Waters Emergency Physicians LLC is an Emergency Medicine Physician in De Kalb, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14365 Highway 16 W
De Kalb, MS 39328-7974
Phone: (800) 444-7009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1194020248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Kondas — Officer · (954) 838-2371
NPI enumeratedJanuary 21, 2011
Last updated in NPPESAugust 25, 2019
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331

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