Oak Run ER, PLLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160317 Issued in TX

Legal business name

OAK RUN ER, PLLC

Practice address

1850 W State Highway 46 Ste 109
New Braunfels, TX 78132-5283

Phone

(830) 625-0913

Fax

(512) 852-4625

NPI assigned

May 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Nikkel Nisbet, DO

Title

PLLC Member/Manager

Phone

(830) 625-0911

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Doctors, PLLC Former legal business name

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

{
    "created_epoch": "1495929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495929600000",
    "number": "1942738455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6056",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666056",
            "telephone_number": "361-884-2904",
            "fax_number": "512-852-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W STATE HIGHWAY 46 STE 109",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325283",
            "telephone_number": "830-625-0913",
            "fax_number": "512-852-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RUN ER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-28",
        "last_updated": "2017-05-28",
        "status": "A",
        "authorized_official_last_name": "NISBET",
        "authorized_official_first_name": "NIKKEL",
        "authorized_official_title_or_position": "PLLC MEMBER/MANAGER",
        "authorized_official_telephone_number": "830-625-0911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Doctors, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nuch of Texas
• Beverly Burnett Nuckols, M.D.
• Renee Paulyna Nunez
• Sara O'Brien, DNP, APRN, FNP-BC
• Leslie A. O'Connell, MD
• Robert H Offutt, DDS
• Ana Alicia Ogden
• Arianna Ohlschwager
• Erica Oldham, PTA
• Leigha Rose Oldham, LPC-A

• Emergency Care Clinic/Center in New Braunfels, TX
• Providers in New Braunfels, 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 May 28, 2017; 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.