NPI 1093174658 · live from the CMS NPI Registry
Bastion Emergency Physicians, PLLC
Emergency Medicine in Galveston, TX. National Provider Identifier 1093174658, active.
NPI record
| NPI | 1093174658 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 301 University Blvd, Galveston, TX 77555 |
| Practice phone | 469-401-2386 |
| Mailing address | Po Box 98959, Las Vegas, NV 89193 |
| Enumerated | February 11, 2016 |
| Last updated | February 11, 2016 |
| Authorized official | Joseph Gatewood, M.D., Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Emergency Medicine primary | 207P00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.