Organization Active NPI

Galveston ER Operations, LLC

  • Emergency Care Clinic/Center
  • Galveston, TX
National Provider Identifier
1821501875
Registry record updated Mar 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
160355 Issued in TX
Legal business name
GALVESTON ER OPERATIONS, LLC
Practice address
4222 Seawall Blvd
Galveston, TX 77551
Phone
(281) 236-0563
NPI assigned
Nov 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2018

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

Authorized official

Name
Jonathan Bohannon
Title
Manager
Phone
(281) 236-0563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 160355 TX Primary

Addresses

Primary practice location

4222 Seawall Blvd
Galveston, TX 77551

Mailing address

9943 Common Hawker CT
Conroe, TX 77385-6503
Phone (281) 236-0563

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521849600000",
    "number": "1821501875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 COMMON HAWKER CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773856503",
            "telephone_number": "281-236-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 SEAWALL BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77551",
            "telephone_number": "281-236-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVESTON ER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-03-24",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-236-0563"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; 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.