Organization
2013 BROADWAY EMERGENCY CARE LLC
Active
Other names
The Emergency Clinic at the Pearl
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B NEIMAN (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
2015 BROADWAY ST, SAN ANTONIO, TX 78215-1117
(817) 421-0012
(817) 421-0036
Mailing address
PO BOX 93082, SOUTHLAKE, TX 76092-1082
(817) 421-0012
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
11/17/2017
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