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Organization
NW SA FSER FACILITY LLC
Active
Organization
NW SA FSER FACILITY LLC
Active
Other names
Complete Care Nacogdoches Road
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(713) 591-2256
Entity
Organization
Contact information
Practice address
15140 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1212
(210) 951-9300
Mailing address
910 S KIMBALL AVE, SOUTHLAKE, TX 76092-9005
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
06/20/2022
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