Coastal Physicians Regional, PLLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160288 Issued in TX

Legal business name

COASTAL PHYSICIANS REGIONAL, PLLC

Practice address

3154 SE Military Dr Ste 103
San Antonio, TX 78223-3975

Phone

(210) 337-0911

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Kenyon, MD

Title

LLC Board Member

Phone

(210) 337-0911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1396297743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6327",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666327",
            "telephone_number": "210-337-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 SE MILITARY DR STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233975",
            "telephone_number": "210-337-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICIANS REGIONAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "LLC BOARD MEMBER",
        "authorized_official_telephone_number": "210-337-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Coakley, RN
• Diane Laverne Coalson, PHD, LP
• Coastal ER VII, LLC
• Coastal ER XI, LLC
• Coastal Home Health Care, Inc
• Cassie Layne Coates, PNP
• Joann M Coates, PH.D.P.C.
• Karilyn Le'Von Coates, RBT
• Rosemary Ann Coates, MA, LPC
• Lauren Coats

• Emergency Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, 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 2, 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.