# CEC LAKEWAY ER PHYSICIANS PLLC

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

## Provider details

- **NPI number:** 1962851964
- **Authorized official:** JOHN BRAXTON NEIMAN ESQ. (GENERAL COUNSEL)
- **Authorized official phone:** (817) 421-0034

## Contact information

- **Practice address:** 1518 RANCH ROAD 620 S, 100, LAKEWAY, TX 78734-6291
- **Practice address phone:** (817) 421-0034
- **Practice address fax:** (817) 421-0036
- **Mailing address:** PO BOX 92396, SOUTHLAKE, TX 76092-0104
- **Mailing address phone:** (817) 421-0034
- **Mailing address fax:** (817) 421-0036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 06/14/2016