Texas ER Group PLLC
Organization Active NPI Emergency Medicine Physician · Lumberton, TX
NPI 1235829359 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1235829359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- TEXAS ER GROUP PLLC
- Practice address
- 220 Blanco St Ste 2
Lumberton, TX 77657-1302 - Phone
- (409) 755-2273
- NPI assigned
- May 11, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- TK EMERGENCY PHYSICIANS GROUP PLLC
Authorized official
- Name
- Darleen Callahan
- Title
- VP, Revenue Cycle
- Phone
- (832) 219-3833
Parent organization (reported in NPPES) 1
Practitioners 130
-
Waqar Ahmad, MD
-
Stephen Antwi, M.D.
-
Aung Ba, MD
-
Dennis Michael Bishop, M.D.
-
Kevin Chiu, M.D.
-
Jimmy L Cooper, MD
-
Danny Farley, M.D.
-
James Jackson, M.D.
-
Christopher Karmout, M.D.
-
Dwight W. Landor, FNP-BC
-
Jedidiah Morgan, FNP
-
James M Piccione, MD
-
Danna L Young, MD
-
Ziad A Abdo, M.D.
-
Zahoor Ahmed, MD
-
Muhaned Ga Alsaedi, M.D
-
Pablo E Amador, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240223003917 | TX | Part B Supplier - Clinic/Group Practice | 4880039338 |
Receives reassigned benefits from 114 practitioners Practice locations: Lumberton, TX |
National Provider Directory
- Part of
- TK Emer Physicians GRP PLLC
Locations
1535 West Loop S
Fl 3
Houston, TX 77027
220 Blanco St
Lumberton, TX 77657
Phone (409) 227-0520
137 N Lhs Dr
Ste 755
Lumberton, TX 77657
Phone (832) 219-3833
220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
220 Blanco St Ste 2
Lumberton, TX 77657-1302
Mailing address
PO Box 790379
Saint Louis, MO 63179-0379
Other practice location 1
137 N Lhs Dr Ste 755
Lumberton, TX 77657-8620
Phone (832) 219-3833
NPI Registry JSON
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1235829359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790379",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631790379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BLANCO ST STE 2",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776571302",
"telephone_number": "409-755-2273"
}
],
"practiceLocations": [
{
"address_1": "137 N Lhs Dr Ste 755",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "TX",
"postal_code": "776578620",
"country_code": "US",
"telephone_number": "832-219-3833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TEXAS ER GROUP PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TK EMERGENCY PHYSICIANS GROUP PLLC",
"enumeration_date": "2023-05-11",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "DARLEEN",
"authorized_official_title_or_position": "VP, REVENUE CYCLE",
"authorized_official_telephone_number": "832-219-3833"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Lumberton, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.