22250 BULVERDE CEC FOSSIL CREEK LLC (NPI# 1740603422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740603422 |
| Entity Type | Organization |
| Organization Name | 22250 BULVERDE CEC FOSSIL CREEK LLC |
| Other Organization Name | FOSSIL CREEK COMPLETE CARE |
| Practice Address |
22250 Bulverde Rd 120 San Antonio TX 78261-3084 |
| Mailing Address |
Po Box 93059 Southlake TX 76092-1059 |
| Practice Telephone | 8174210034 |
| Practice Fax Number | 8174210036 |
| Mailing Telephone | 8174210034 |
| Mailing Fax Number | 8174210036 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | JOHN BRAXTON NEIMAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 8174210034 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fossil Creek Complete Care | Doing Business As Name - Organization |
| Street Address |
22250 BULVERDE RD 120 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78261-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205875309 | Brian S Johnson | Nurse Practitioner | 22250 Bulverde Rd, Ste 120, San Antonio, TX 78261-3084 | 2006-06-05 |
| 1114311636 | Comprehensive Primary Care Group Inc. | Family Medicine | 22250 Bulverde Rd, Suite 111, San Antonio, TX 78261-3084 | 2015-03-23 |
| 1831513944 | Fossil Creek Er Physicians Pllc | Emergency Medicine | 22250 Bulverde Rd, Suite 120, San Antonio, TX 78261-3084 | 2014-02-10 |
| 1205270097 | Barlite Urgent Care Pllc | Clinic/Center | 22250 Bulverde Rd, Suite 120, San Antonio, TX 78261-3084 | 2013-04-23 |
| 1922270982 | Teresa M. Godinez | Internal Medicine | 22250 Bulverde Rd, Ste 120, San Antonio, TX 78261-3084 | 2008-03-31 |
| 1003007295 | Obinna C. Uzowulu | Family Medicine | 22250 Bulverde Rd, Suite 111, San Antonio, TX 78261-3084 | 2007-08-05 |
| 1790891661 | Salvador Abrams | Emergency Medicine | 22250 Bulverde Rd, Ste 120, San Antonio, TX 78261-3084 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275608 | Jamie Raye Spencer | Registered Nurse | 25622 Coral Vine, San Antonio, TX 78261 | 2018-08-21 |
| 1023517083 | Elaina Garcia | Behavior Technician | 26210 Big Bluestem, San Antonio, TX 78261 | 2018-02-06 |
| 1053867879 | A Daughter's Love for Senior Care At Stone Oak | Custodial Care Facility | 4092 Tpc Pkwy, San Antonio, TX 78261 | 2016-08-31 |
| 1982837811 | Lyzete A. Talla | Registered Nurse | 3846 Sweet Olive, San Antonio, TX 78261 | 2009-08-26 |
| 1073775813 | Alberto Vargas | Family Medicine | 3333 Research Plaza, San Antonio, TX 78261 | 2008-07-01 |
| 1003926866 | Ronald J Stark | Chiropractor | 25610 Sago Palm, San Antonio, TX 78261 | 2006-08-30 |
| 1922061886 | Mary Christine Clarke | Nurse Practitioner | 25518 Wounded Knee, San Antonio, TX 78261 | 2006-04-10 |
| 1801864616 | Gil J Cerros | Military Health Care Provider | 25850 Big Bluestem, San Antonio, TX 78261 | 2006-03-08 |
| 1356331656 | Kevin Patrick Banks | Nuclear Medicine | San Antonio Military Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, TX 78261 | 2005-10-27 |
| 1831593664 | Amour Healthcare Services, Inc. | Home Health | 3846 Sweet Olive, San Antonio, TX 78261 | 2014-10-22 |
| Find all providers in zip 78261 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222988 | Nuch of Texas | Clinic/Center | 5900 Broadway St, San Antonio, TX 78209-5236 | 2019-05-31 |
| 1174059208 | The Emergency Center At Alamo Ranch, LLC | Clinic/Center | 11320 Alamo Ranch Parkway, San Antonio, TX 78253 | 2017-05-10 |
| 1063955466 | De Zavala Medical Center | Clinic/Center | 12805 W Interstate 10, San Antonio, TX 78249-2211 | 2016-12-02 |
| 1043762578 | Coastal Er Vii, LLC | Clinic/Center | 3154 Se Military Dr Ste 103, San Antonio, TX 78223-3975 | 2016-11-01 |
| 1043761463 | Legacy Trails Medical Center | Clinic/Center | 9211 Potranco Rd, San Antonio, TX 78251 | 2016-10-20 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1568833762 | Plains Er Management, Ltd | Clinic/Center | 15140 Nacogdoches Rd, San Antonio, TX 78247-1212 | 2015-10-13 |
| 1184001158 | Potranco Medical Center | Clinic/Center | 738 W Loop 1604 N, San Antonio, TX 78251 | 2015-04-29 |
| 1609268879 | Alamo Heights Complete Care LLC | Clinic/Center | 6496 N New Braunfels Ave, San Antonio, TX 78209-3827 | 2015-02-25 |
| 1811307697 | Wilderness-hardy Oak Medical Center, LLC | Clinic/Center | 23511 Hardy Oak Blvd, San Antonio, TX 78258 | 2014-05-02 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78261 |
Please comment or provide details below to improve the information on 22250 BULVERDE CEC FOSSIL CREEK LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.