Organization Active NPI

Permian Basin ER IV

  • Emergency Care Clinic/Center
  • Abilene, TX
National Provider Identifier
1306222385
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PERMIAN BASIN ER IV
Doing business as
EXCEL ER
Practice address
4157 Buffalo Gap Rd
Abilene, TX 79605-7233
Phone
(281) 658-1078
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Dr. Christopher Kwon, M.D.
Title
Manager
Phone
(281) 658-1078

Specialties & licenses 1

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

Addresses

Primary practice location

4157 Buffalo Gap Rd
Abilene, TX 79605-7233

Mailing address

4157 Buffalo Gap Rd
Abilene, TX 79605-7233
Phone (281) 658-1078

Other names 1

  • EXCEL ER Doing business as

National Provider Directory

National Provider Directory

Locations

4157 Buffalo Gap Rd
Abilene, TX 79605
Phone (254) 317-8039

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1306222385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057233",
            "telephone_number": "281-658-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4157 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796057233",
            "telephone_number": "281-658-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BASIN ER IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-658-1078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.