| NPI | 1013499383 |
|---|---|
| Other Name | ALLY MEDICAL |
| Other Name | PHYSICIANS PREMIER |
| Doing Business As | ALLY MEDICAL EMERGENCY ROOM BASTROP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CARTER Governing Board Member 512-451-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-03-22 |