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Organization
EC BANDERA, LLC
Active
Organization
EC BANDERA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SEAY M.D. (CEO)
(281) 784-1500
Entity
Organization
Contact information
Practice address
8703 BANDERA ROAD, SAN ANTONIO, TX 78250
(281) 784-1500
(281) 784-1653
Mailing address
211 HIGHLAND CROSS DR, SUITE 275, HOUSTON, TX 77073-1733
(281) 784-1500
(281) 784-1653
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH057E
BCBSTX
TX
Enumeration date
07/10/2012
Last updated
08/14/2014
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