Organization
CEC SAN ANTONIO ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (C.O.O.)
(817) 421-0034
Entity
Organization
Contact information
Practice address
10628 CULEBRA RD, SAN ANTONIO, TX 78251-1312
(940) 733-5206
(817) 421-0036
Mailing address
PO BOX 92515, SOUTHLAKE, TX 76092-0515
(940) 733-5206
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M6729
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M9966
TX
Other
Enumeration date
12/17/2012
Last updated
03/19/2024
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