Coastal ER IX, LLC

Organization Active NPI Emergency Care Clinic/Center · Cibolo, TX

NPI 1124669262 · NPPES record last updated Oct 10, 2023

Key facts

NPI
1124669262
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Care Clinic/Center 261QE0002X
Legal business name
COASTAL ER IX, LLC
Practice address
580 Cibolo Valley Dr Ste 137
Cibolo, TX 78108-3834
Phone
(210) 251-3545
Fax
(832) 653-2978
NPI assigned
Sep 30, 2019
Organization subpart
No

Authorized official

Name
Bobby Rankin
Title
System Business Manager
Phone
(361) 851-6626

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2167451Coastal ER IX, Physicians Premier
580 Cibolo Valley Drive, Cibolo, TX 78108
AccreditationJun 16, 2028

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Yes

Addresses

Primary practice location

580 Cibolo Valley Dr Ste 137
Cibolo, TX 78108-3834

Mailing address

4141 S Staples St Ste 101
Corpus Christi, TX 78411-2115
Phone (361) 851-6626

Other names

  • Physicians PremiER Doing business as

Other providers in Cibolo, TX

All providers in Cibolo, TX · Emergency Care Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.