Organization · NPI-2

2013 Broadway Emergency Care LLC

Clinic/Center, Emergency Care · San Antonio, TX

NPI number1770093643
StatusActive
Last updated in NPPESNov 17, 2017

Details

NPI
1770093643
Entity type
Organization (NPI-2)
Legal business name
2013 Broadway Emergency Care LLC
Organization subpart
No
Enumeration date
Oct 5, 2017
Last updated
Nov 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0002X Clinic/Center, Emergency Care––Yes

Other names

  • The Emergency Clinic At The Pearl (Doing Business As)

Practice location

2015 Broadway St
San Antonio, TX 78215-1117

Phone 817-421-0012 · Fax 817-421-0036

Mailing address

Po Box 93082
Southlake, TX 76092-1082

Phone 817-421-0012 · Fax 817-421-0036

Authorized official

John B Neiman
General Counsel
8174210034

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