Organization
COMPLETE EMERGENCY CARE PUEBLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAXTON NEIMAN (GENERAL COUNSEL)
(817) 421-0031
Entity
Organization
Contact information
Practice address
2035 S PUEBLO BLVD, PUEBLO, CO 81005-2577
(817) 527-3431
(817) 527-3445
Mailing address
PO BOX 93323, SOUTHLAKE, TX 76092-0113
(817) 421-0012
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
04/26/2017
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