Organization
NW SA FSER FACILITY LLC
Active
Other names
Complete Care Nacogdoches Road
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(713) 591-2256
Entity
Organization
Contact information
Practice address
15140 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1212
(210) 951-9300
Mailing address
910 S KIMBALL AVE, SOUTHLAKE, TX 76092-9005
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
06/20/2022
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