Healthcare Provider Details

I. General information

NPI: 1235611500
Provider Name (Legal Business Name): BTX EMERGENCY PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2018
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 HIGHWAY 71 W
BASTROP TX
78602-3735
US

IV. Provider business mailing address

5525 BURNET RD STE A
AUSTIN TX
78756-1646
US

V. Phone/Fax

Practice location:
  • Phone: 512-321-0911
  • Fax: 512-852-4625
Mailing address:
  • Phone: 512-451-0911
  • Fax: 512-321-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. TIMOTHY CARTER
Title or Position: GOVERNING BOARD MEMBER
Credential: MD
Phone: 512-451-0911