NPIMap

Organization Active NPI

Emergency Physicians of South Texas PLLC

  • Emergency Medicine Physician
  • Harlingen, TX
National Provider Identifier
1477310779
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY PHYSICIANS OF SOUTH TEXAS PLLC
Practice address
5501 S Expressway 77
Harlingen, TX 78550-3213
Phone
(956) 365-1000
NPI assigned
Mar 4, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Christopher Guadarrama, MDNPI 1386901098
Title
Coo
Phone
(956) 242-4452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

5501 S Expressway 77
Harlingen, TX 78550-3213

Mailing address

222 E Van Buren Ave Ste 506
Harlingen, TX 78550-6823
Phone (956) 242-4452

Other practice location 1

1401 E 8th St
Weslaco, TX 78596-6640
Phone (956) 968-8567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416000114 TX Part B Supplier - Clinic/Group Practice 8820437494 Receives reassigned benefits from 55 practitioners
Practice locations: Harlingen, TX; Weslaco, TX

National Provider Directory

National Provider Directory

Locations

222 E Van Buren Ave
Ste 506
Harlingen, TX 78550
Phone (956) 242-4452

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1477310779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E VAN BUREN AVE STE 506",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785506823",
            "telephone_number": "956-242-4452",
            "fax_number": "956-413-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S EXPRESSWAY 77",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503213",
            "telephone_number": "956-365-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966640",
            "country_code": "US",
            "telephone_number": "956-968-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS OF SOUTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GUADARRAMA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "956-242-4452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.