COASTAL ER IX, LLC (NPI# 1124669262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124669262 |
| Entity Type | Organization |
| Organization Name | COASTAL ER IX, LLC |
| Practice Address |
580 Cibolo Valley Dr Ste 137 Cibolo TX 78108-3834 |
| Mailing Address |
Po Box 6056 Corpus Christi TX 78466-6056 |
| Practice Telephone | 2102513545 |
| Practice Fax Number | 8326532978 |
| Mailing Telephone | 3617230226 |
| Mailing Fax Number | 8326532978 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | RACHEL DEHN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3618823133 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physicians PremiER | Doing Business As Name - Organization |
| Street Address |
580 CIBOLO VALLEY DR STE 137 |
| City | CIBOLO |
| State | TX |
| Zip Code | 78108-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811787 | Cibolo Emergency Physicians, Pllc | Clinic/Center | 580 Cibolo Valley Dr Ste 137, Cibolo, TX 78108-3834 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947180 | Urban Dental PCs | Dentist | 2451 Fh 1103, #109, Cibolo, TX 78108 | 2019-05-10 |
| 1104381474 | Cvs Pharmacy Inc | Pharmacy | 5334 Fm 1103, Schertz, TX 78108 | 2019-01-31 |
| 1497225973 | Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | 232 Brite Road, Suite 113, Cibolo, TX 78108 | 2018-11-28 |
| 1417438425 | Laura Daigle | Registered Nurse | 580 Cibolo Valley Dr Ste 221, Cibolo, TX 78108 | 2018-08-27 |
| 1184102147 | Cibolo-south Texas Center for Pediatric Care | Pediatrics | 580 Cibolo Valley Drive, Suite 221, Cibolo, TX 78108 | 2018-08-01 |
| 1346732807 | Cibolo Pediatric Dentistry, Pllc | Dentist | 3738 Cibolo Valley Dr., Cibolo, TX 78108 | 2018-05-31 |
| 1285135251 | Cynthia Schuster | Licensed Vocational Nurse | 3956 Whisper Field, Cibolo, TX 78108 | 2018-02-26 |
| 1710403761 | Samuel Wyatt Hensley | Military Health Care Provider | 100 Cirrus Cv, Cibolo, TX 78108 | 2017-08-21 |
| 1033632443 | Afcc-affinity Family Care Clinic | Nurse Practitioner | 232 Brite Rd, Suite 117, Cibolo, TX 78108 | 2017-07-18 |
| 1366964744 | Hector Eduardo Pallares-hernandez | Nurse Practitioner | 409 Stonebrook Dr, Cibolo, TX 78108 | 2017-07-07 |
| Find all providers in zip 78108 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811787 | Cibolo Emergency Physicians, Pllc | Clinic/Center | 580 Cibolo Valley Dr Ste 137, Cibolo, TX 78108-3834 | 2019-09-30 |
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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.