COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC – NPI #1134590151
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC is a provider located in BEAUMONT, TX. NPPES has assigned the NPI number 1134590151 to COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC on October 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 11 years ago on Nov 04, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC below.

NPI Profile for
COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC

NPI Number
1134590151
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COUNTRY ROAD EMERGENCY PHYSICIANS, PLLC
Primary location
2830 CALDER ST
BEAUMONT, TX 77702-1809
Phone: (469) 401-2386 Fax:
Mailing address
PO BOX 98953
LAS VEGAS, NV 89193-8684
Phone: (469) 401-2386 Fax:
Organization Subpart
No
Authorized Official
JOSEPH GATEWOOD
OFFICER
Phone: (469) 401-2386
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.