# PADRE ISLAND ER PHYSICIANS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295261337
- **Authorized official:** BRAXTON NEIMAN (GENERAL COUNSEL)
- **Authorized official phone:** (817) 421-0034

## Contact information

- **Practice address:** 14433 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78418-5938
- **Practice address phone:** (817) 421-0012
- **Practice address fax:** (817) 421-0036
- **Mailing address:** 920 S KIMBALL AVE, SOUTHLAKE, TX 76092-9016
- **Mailing address phone:** (817) 421-0012
- **Mailing address fax:** (817) 421-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017