Organization
LEGACY TRAILS MEDICAL CENTER
Active
Parent organization
FIRST CHOICE EMERGENCY ROOM
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CHOICE EMERGENCY ROOM
Authorized official
FRANK WILLIAMS (CFO)
(972) 899-6637
Entity
Organization
Contact information
Practice address
9211 POTRANCO RD, SAN ANTONIO, TX 78251
(210) 858-4420
Mailing address
PO BOX 840795, DALLAS, TX 75284-0795
(972) 899-6637
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160290
TX
Other
Enumeration date
10/20/2016
Last updated
01/11/2017
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