NPI 1568834521 · live from the CMS NPI Registry
Bastion Emergency Physicians, Pplc
Emergency Medicine in Nacogdoches, TX. National Provider Identifier 1568834521, active.
NPI record
| NPI | 1568834521 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 4920 Ne Stallings Dr, Nacogdoches, TX 75965 |
| Practice phone | 469-401-2386 |
| Mailing address | Po Box 98959, Las Vegas, NV 89193 |
| Enumerated | October 29, 2015 |
| Last updated | November 4, 2015 |
| Authorized official | Joseph Gatewood, 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.