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Organization
22250 BULVERDE CEC FOSSIL CREEK LLC
Active
Organization
22250 BULVERDE CEC FOSSIL CREEK LLC
Active
Other names
Fossil Creek Complete Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(713) 591-2256
Entity
Organization
Contact information
Practice address
22250 BULVERDE RD, 120, SAN ANTONIO, TX 78261-3084
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 93059, SOUTHLAKE, TX 76092-1059
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
02/10/2022
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