Organization
22250 BULVERDE CEC FOSSIL CREEK LLC
Active
Other names
Fossil Creek Complete Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(713) 591-2256
Entity
Organization
Contact information
Practice address
22250 BULVERDE RD, 120, SAN ANTONIO, TX 78261-3084
(817) 421-0034
(817) 421-0036
Mailing address
PO BOX 93059, SOUTHLAKE, TX 76092-1059
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
02/10/2022
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