Coastal Bend Physicians PLLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

H8172 Issued in TX

Legal business name

COASTAL BEND PHYSICIANS PLLC

Practice address

1860 US Highway 181, Suite C
Portland, TX 78374

Phone

(361) 991-0911

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Paul Kenyon, MD

Title

Director

Phone

(361) 991-0911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1134592629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST",
            "address_2": "STE. 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112105",
            "telephone_number": "361-991-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 US HIGHWAY 181, SUITE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374",
            "telephone_number": "361-991-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "361-991-0911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "H8172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Plains Community MHMR Center (Coastal Plains Community Center)
• Coastal Plains Community MHMR Center (Coastal Plains Community Center)
• Coastal Plains Community MHMR Center (Coastal Plains Community Center)

• Emergency Care Clinic/Center in Portland, TX
• Providers in Portland, 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 Nov 5, 2015; 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.