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Organization
COASTAL ER III, LLC
Active
Organization
COASTAL ER III, LLC
Active
Other names
Physicians Premier Emergency Room
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KWON M.D. (MANAGER)
(361) 991-0912
Entity
Organization
Contact information
Practice address
1860 HIGHWAY 181 FRONTAGE ROAD, STE C, PORTLAND, TX 78374
(361) 991-0912
Mailing address
PO BOX 6040, CORPUS CHRISTI, TX 78466-6040
(361) 723-0226
(512) 852-4625
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
01/11/2024
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