COASTAL ER V, LLC (NPI# 1588111082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588111082 |
Entity Type | Organization |
Organization Name | COASTAL ER V, LLC |
Other Organization Name | PHYSICIANS PREMIER |
Practice Address |
11158 Leopard St Ste 103 Corpus Christi TX 78410-2612 |
Mailing Address |
Po Box 6040 Corpus Christi TX 78466-6040 |
Practice Telephone | 3619910811 |
Mailing Telephone | 3618842904 |
Mailing Fax Number | 3618841912 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-11-01 |
Authorized Official Name | DR. PAUL KENYON (LLC BOARD MEMBER) |
Authorized Official Telephone | 3619910811 |
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 |
160281 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TDSHS FEC LICENSE | 160281 | 01 |
Other Name | Type Code |
---|---|
Physicians PremiER | Doing Business As Name - Organization |
Street Address |
11158 LEOPARD ST STE 103 |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78410-2612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861006736 | Ifeyinwa B Nwolisa | Pharmacist | 4101 Ih 69, Suite C, Corpus Christi, TX 78410 | 2020-09-08 |
1417486333 | Calallen Dental & Orthodontics Pllc | Dentist | 14101 Northwest Blvd Ste 111, Corpus Christi, TX 78410 | 2017-06-05 |
1811395734 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14017 Northest Blvd., Suite 109-b, Corpus Christi, TX 78410 | 2014-12-09 |
1811324841 | Nicholas S Baucum | Chiropractor | 14902 Trinity River Dr Ste 2, Corpus Christi, TX 78410 | 2013-10-04 |
1477865954 | Brett D Chapman | Dentist | 13725 Northwest Blvd., Medical Plaza 1, Ste. 1, Corpus Christi, TX 78410 | 2010-07-13 |
1063644227 | Professionals Inserting Central Catheters, Inc. | Registered Nurse | 4309 Lavaca River Ct, Corpus Christi, TX 78410 | 2009-08-20 |
1568639177 | Whisper Creek Adult Day Care, Inc. | Custodial Care Facility | 13665 Teague Lane, Corpus Christi, TX 78410 | 2008-05-13 |
1821143637 | Albert Henry Guzman | Durable Medical Equipment & Medical Supplies | 4613 Cornett Dr, Corpus Christi, TX 78410 | 2007-01-24 |
1083771026 | Erica Contreras | Physical Therapy Assistant | 13138 Leopard St, Corpus Christi, TX 78410 | 2007-01-02 |
1619065604 | John Theodore Thompson | Dentist | 4101 Us Hwy 77 Ste M 1a, Corpus Christi, TX 78410 | 2006-10-11 |
Find all providers in zip 78410 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730612979 | Reliant Emergency Room LLC | Clinic/Center | 6813 Everhart Road, Corpus Christi, TX 78413-2453 | 2017-04-05 |
1922468156 | Coastal Er Iv LLC | Clinic/Center | 7750 South Padre Island Drive, Corpus Christi, TX 78412 | 2016-03-01 |
1164827093 | Coastal Er II, LLC | Clinic/Center | 4141 S Staples St, Suite 106, Corpus Christi, TX 78411-2105 | 2014-11-04 |
1720483829 | Tlc Corpus Emergency Care LLC | Clinic/Center | 7330 S. Staples Street, Corpus Christi, TX 78413 | 2014-10-31 |
1235544560 | Coastal Physicians Er, Pllc | Clinic/Center | 5521 Saratoga Blvd Ste 100, Corpus Christi, TX 78413-2932 | 2014-06-25 |
1902219348 | Coastal Er I, LLC | Clinic/Center | 5521 Saratoga Blvd, Ste 100, Corpus Christi, TX 78413-2843 | 2014-06-03 |
1003476961 | Emcc Padre Island Er LLC | Clinic/Center | 14433 S Padre Island Dr, Corpus Christi, TX 78418-5938 | 2019-06-13 |
1427618370 | Emcc Corpus Midtown Er LLC | Clinic/Center | 4117 S Staples St Ste 140, Corpus Christi, TX 78411-5506 | 2019-06-13 |
1902319015 | Morgan Avenue Urgent Care LLC | Clinic/Center | 1025 Morgan Ave, Corpus Christi, TX 78404-2041 | 2017-11-10 |
1447780655 | Reliant Er Physician Services, Pa | Clinic/Center | 6813 Everhart Road, Corpus Christi, TX 78413-2453 | 2017-06-20 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78410 |
Please comment or provide details below to improve the information on COASTAL ER V, LLC.
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.