BONITA CREEK EMERGENCY SERVICES PLLC
NPI 1902555485
Emergency Medicine in Nacogdoches, TX

Active since March 22, 2022
1204 N MOUND ST, NACOGDOCHES, TX 75961(936) 564-4611 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bonita Creek Emergency Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONITA CREEK EMERGENCY SERVICES PLLC (NPI 1902555485) is a healthcare organization registered as an emergency medicine in Nacogdoches, Texas and active in the NPI registry since March 2022. The organization lists Adam Corley, President, as its authorized official.

NPPES Registry Identity

NPI1902555485
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBONITA CREEK EMERGENCY SERVICES PLLC
Location Address1204 N MOUND STNacogdoches, TX 75961-4027
Mailing Address638a N University Dr # 184Nacogdoches, TX 75961-4617
Organization SubpartNo
Authorized OfficialAdam CorleyPresident · (337) 277-6355
Enumeration DateMarch 22, 2022
Last NPPES UpdateJanuary 9, 2023
NPPES CertifiedJanuary 9, 2023
NPI 1902555485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1204 N MOUND ST, Nacogdoches, TX 75961

Other Identifiers 1

Other12345TX · Medicaid

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Anesthesiology
1204 N MOUND ST
NACOGDOCHES, TX 75961
Obstetrics & Gynecology
1204 N MOUND ST
NACOGDOCHES, TX 75961
General Acute Care Hospital
1204 N MOUND ST
NACOGDOCHES, TX 75961
Advanced Practice Midwife
1204 N MOUND ST
NACOGDOCHES, TX 75961
Radiology (Diagnostic Radiology)
1204 N MOUND ST, NACOGDOCHES MEMORIAL HOSPITAL RADIOLOGY DEPT
NACOGDOCHES, TX 75961
Emergency Medicine
1204 N MOUND ST
NACOGDOCHES, TX 75961
Nurse Anesthetist, Certified Registered
1204 N MOUND ST
NACOGDOCHES, TX 75961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonita Creek Emergency Services PLLC's NPI number?

The NPI number for Bonita Creek Emergency Services PLLC is 1902555485. It was assigned to this organization in the NPPES registry on March 22, 2022.

Where is Bonita Creek Emergency Services PLLC located?

Bonita Creek Emergency Services PLLC is located at 1204 N Mound St, Nacogdoches, TX 75961. The listed phone number is (936) 564-4611.

What is Bonita Creek Emergency Services PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Bonita Creek Emergency Services PLLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.