COASTAL ER V LLC NPI 1588111082

NPI Information

NPI: 1588111082
Provider Name: COASTAL ER V, LLC

Doing Business As: PHYSICIANS PREMIER

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
11158 LEOPARD ST STE 103
CORPUS CHRISTI, TX
ZIP 78410
Phone: (361) 991-0811
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COASTAL ER V, LLC is an emergency care clinic center in Corpus Christi, TX. COASTAL ER V, LLC NPI is 1588111082. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Premier.

The provider's business location address is:

11158 LEOPARD ST STE 103
CORPUS CHRISTI, TX
ZIP 78410-612
Phone: (361) 991-0811

The provider's authorized official is Paul Kenyon .
The authorized official title is Llc Board Member and has the following contact phone number (361) 991-0811.

The CLIA number assigned to this NPI record is 45D2116143 - other - freestanding emergency me with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 1/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care	160281	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	160281	OTHER	TEXAS	TDSHS FEC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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