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NPI Code Detail

MEDICARE: COMPASS POINT EMERGENCY PHYSICIANS, PLLC

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
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1811357189
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 : 89193-8937
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 6700 W IH 10
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-2009
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 : 03/01/2016
Last Update Date : 03/22/2023

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