C3EROW, LLC (NPI# 1548700990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548700990 |
Entity Type | Organization |
Organization Name | C3EROW, LLC |
Other Organization Name | CODE 3 ER AT ROCKPORT |
Practice Address |
400 Enterprise Blvd Ste A100 Rockport TX 78382 |
Mailing Address |
5300 Town and Country Blvd Ste 260 Frisco TX 75034-6913 |
Practice Telephone | 3615299400 |
Practice Fax Number | 3615299402 |
Mailing Telephone | 4692085297 |
Mailing Fax Number | 2142600707 |
Enumeration Date | 2017-03-05 |
Last Update Date | 2018-07-06 |
Authorized Official Name | DR. CARRIE E DE MOOR (CEO) |
Authorized Official Telephone | 4693209820 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
160334 | TX | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Code 3 ER at Rockport | Doing Business As Name - Organization |
Street Address |
400 ENTERPRISE BLVD STE A100 |
City | ROCKPORT |
State | TX |
Zip Code | 78382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013322510 | Code 3 Emergency Physicians, Pa | Emergency Medicine | 400 Enterprise Blvd Ste A100, Rockport, TX 78382 | 2014-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618297 | Youngjoon Lee Kim | Dentist | 2347 Tx-35 Bus, Rockport, TX 78382 | 2020-08-03 |
1568013951 | Tracy Ann Oros | Nurse Practitioner | 400 North Enterprise, Rockport, TX 78382 | 2019-09-26 |
1831545219 | Gillian Cox | Registered Nurse | 161 Bernardy Rd, Rockport, TX 78382 | 2016-05-04 |
1043627029 | Jonathan Marcus Heyward | Counselor | 620 East Concho, Rockport, TX 78382 | 2014-07-22 |
1114344728 | Barbara Bridges | Audiologist-Hearing Aid Fitter | 1723 Cherry St Ste 1, Rockport, TX 78382 | 2014-03-20 |
1962779959 | Lorraine Michele Cameron | Student in an Organized Health Care Education/Training Program | 1801 Omohundro Dr, Rockport, TX 78382 | 2011-11-19 |
1063723641 | Calvin Kimura | Pharmacist | 1309 Sh 35 N, Rockport, TX 78382 | 2010-06-29 |
1811212269 | Jadron LLC | Home Health | 2600 Lakeview Dr., St. 2, Rockport, TX 78382 | 2010-03-29 |
1316123342 | Linda Faye Lemmons | Speech-Language Pathologist | 1703 Bayshores Dr, Rockport, TX 78382 | 2008-01-22 |
1932240256 | Nichole Q Soto | Optometrist | 2740 Hwy 35 North, Rockport, TX 78382 | 2007-02-09 |
Find all providers in zip 78382 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.