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Organization
BANDERA EMERGENCY PHYSICIANS, PLLC
Active
Organization
BANDERA EMERGENCY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE CAMPBELL (DIRECTOR OF PATIENT ACCESS)
(512) 948-1752
Entity
Organization
Contact information
Practice address
8703 BANDERA RD, SAN ANTONIO, TX 78250-2504
(512) 309-8925
Mailing address
1464 E WHITESTONE BLVD STE 1101, CEDAR PARK, TX 78613-9070
(210) 610-7605
(210) 332-5345
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
—
NULL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
—
—
Other
Enumeration date
09/29/2022
Last updated
04/19/2024
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