Organization
FOSSIL CREEK ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NEIMAN ESQ. (GENERAL COUNSEL)
(817) 421-0034
Entity
Organization
Contact information
Practice address
22250 BULVERDE RD, SUITE 120, SAN ANTONIO, TX 78261-3084
(210) 401-8185
(210) 401-8187
Mailing address
PO BOX 93058, SOUTHLAKE, TX 76092-1058
(817) 421-0034
(817) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
01/25/2016
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