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Organization
COASTAL ER IX, LLC
Active
Organization
COASTAL ER IX, LLC
Active
Other names
Physicians PremiER
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY RANKIN (SYSTEM BUSINESS MANAGER)
(361) 851-6626
Entity
Organization
Contact information
Practice address
580 CIBOLO VALLEY DR STE 137, CIBOLO, TX 78108-3834
(210) 251-3545
(832) 653-2978
Mailing address
4141 S STAPLES ST STE 101, CORPUS CHRISTI, TX 78411-2115
(361) 851-6626
(832) 653-2978
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
10/10/2023
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