2013 BROADWAY EMERGENCY CARE LLC (NPI# 1770093643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770093643 |
| Entity Type | Organization |
| Organization Name | 2013 BROADWAY EMERGENCY CARE LLC |
| Other Organization Name | THE EMERGENCY CLINIC AT THE PEARL |
| Practice Address |
2015 Broadway St San Antonio TX 78215-1117 |
| Mailing Address |
Po Box 93082 Southlake TX 76092-1082 |
| Practice Telephone | 8174210012 |
| Practice Fax Number | 8174210036 |
| Mailing Telephone | 8174210012 |
| Mailing Fax Number | 8174210036 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | JOHN B NEIMAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 8174210034 |
| 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 |
|---|---|
| The Emergency Clinic at the Pearl | Doing Business As Name - Organization |
| Street Address |
2015 BROADWAY ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78215-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750355418 | Karen De Leon Chin | Emergency Medicine | 2015 Broadway St, San Antonio, TX 78215-1117 | 2006-02-16 |
| 1437767795 | Bexaraid,llc. | Technician, Pathology | 2015 Broadway St, San Antonio, TX 78215-1117 | 2020-07-22 |
| 1255841011 | 2013 Pearl Er Physicians Pllc | Emergency Medicine | 2015 Broadway St, San Antonio, TX 78215-1117 | 2017-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710487780 | Webster Street Dental Pllc | Clinic/Center | 311 E Jones Ave, San Antonio, TX 78215 | 2018-02-16 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1477958015 | Rachel Lynn Stein | Nurse Practitioner | 311 Camden St Ste 501, San Antonio, TX 78215 | 2014-10-24 |
| 1962837005 | Jessica Maria Leighton | Nurse Practitioner | 926 Brooklyn Ave Ste 100, San Antonio, TX 78215 | 2013-09-09 |
| 1891037123 | Michael Aguilar Davila | Clinic/Center | 303 E Quincy Ste 104, Physician Health Services, San Antonio, TX 78215 | 2013-03-25 |
| 1265669584 | Colin Townes Son | Neurological Surgery | 123 Roy Smith St Apt 1211, San Antonio, TX 78215 | 2009-06-12 |
| 1306082292 | Dario Fernandez | Physical Therapist | 302 E Josephine St Ste 1101, San Antonio, TX 78215 | 2008-12-23 |
| 1992966584 | Vcphcs Vii, LLC | Clinic/Center | 519 E. Quincy, San Antonio, TX 78215 | 2008-06-17 |
| 1871686360 | Inocencio A. Davila, M.d.,p.a. | Anesthesiology | 621 N. Alamo, San Antonio, TX 78215 | 2006-10-02 |
| 1730282708 | Elizabeth S Brickman | Pediatrics | 311 Camden, Suite 214, San Antonio, TX 78215 | 2006-09-06 |
| Find all providers in zip 78215 | ||||
| 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 | 78215 |
Please comment or provide details below to improve the information on 2013 BROADWAY EMERGENCY CARE 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.