Provider Demographics
NPI:1235611500
Name:BTX EMERGENCY PHYSICIANS, PLLC
Entity Type:Organization
Organization Name:BTX EMERGENCY PHYSICIANS, PLLC
Other - Org Name:ALLY MEDICAL EMERGENCY ROOM BASTROP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GOVERNING BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-451-0911
Mailing Address - Street 1:5525 BURNET RD STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-1646
Mailing Address - Country:US
Mailing Address - Phone:512-451-0911
Mailing Address - Fax:512-321-0917
Practice Address - Street 1:512 HIGHWAY 71 W
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3735
Practice Address - Country:US
Practice Address - Phone:512-321-0911
Practice Address - Fax:512-852-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care