Organization
ERCA CAMP BOWIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(713) 591-2256
Entity
Organization
Contact information
Practice address
6006 CAMP BOWIE BLVD, FT WORTH, TX 76116-5620
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 92385, SOUTHLAKE, TX 76092-0104
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
02/10/2022
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