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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