Organization
15140 NARSAN ER PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(817) 421-0034
Entity
Organization
Contact information
Practice address
15140 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1212
(210) 469-4409
Mailing address
910 S KIMBALL AVE STE 175, SOUTHLAKE, TX 76092-9005
(817) 527-3403
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
06/22/2023
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