# COMPLETE EMERGENCY CARE PUEBLO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639619620
- **Authorized official:** MR. BRAXTON NEIMAN (GENERAL COUNSEL)
- **Authorized official phone:** (817) 421-0031

## Contact information

- **Practice address:** 2035 S PUEBLO BLVD, PUEBLO, CO 81005-2577
- **Practice address phone:** (817) 527-3431
- **Practice address fax:** (817) 527-3445
- **Mailing address:** PO BOX 93323, SOUTHLAKE, TX 76092-0113
- **Mailing address phone:** (817) 421-0012
- **Mailing address fax:** (817) 421-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 04/26/2017