Borgata Scotsdale ER Management LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

BORGATA SCOTSDALE ER MANAGEMENT LLC

Practice address

3415 N Loop 250 W
Midland, TX 79707-6001

Phone

(432) 699-0911

NPI assigned

Dec 28, 2016

Last updated

Dec 28, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyungho Scott Choi, MD

Title

Member

Phone

(432) 699-0911

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1023553153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 N LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076001",
            "telephone_number": "432-699-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 N LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076001",
            "telephone_number": "432-699-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORGATA SCOTSDALE ER MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KYUNGHO",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "432-699-0911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyril Bolum
• Rami Reddy Bonam, M.D.
• Hailey Elizabeth Bonner, MPAS, PA-C
• Beau Joplin Boren, DDS
• Ronald P Boren, M.D.
• Ravi C Borra, M.D.
• Brandy Lynn Borunda, PA
• Jennifer Borunda
• Jayme L Boudreaux, CRNA
• Sandra Boulos

• Emergency Care Clinic/Center in Midland, TX
• Providers in Midland, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.