MEDICARE: COMPASS POINT EMERGENCY PHYSICIANS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1720459753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS POINT EMERGENCY PHYSICIANS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 98937
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8684
Country	:	US
Telephone Number	:	954-838-2371
Fax Number	:

Provider Business Practice Location Address
First Line	:	9711 N SAM HOUSTON PKWY E
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77396-4482
Country	:	US
Telephone Number	:	469-401-2386
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	KAREN VAUGHN
Credential	:
Telephone Number	:	973-251-1132

Provider Enumeration Date	:	10/16/2015
Last Update Date	:	03/22/2023

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