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Organization
FOSSIL CREEK ER PHYSICIANS PLLC
Active
Organization
FOSSIL CREEK ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NEIMAN ESQ. (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
22250 BULVERDE RD, SUITE 120, SAN ANTONIO, TX 78261-3084
(210) 401-8185
(210) 401-8187
Mailing address
PO BOX 93058, SOUTHLAKE, TX 76092-1058
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
01/25/2016
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