Active NPI
Legacy Trails Medical Center
- Emergency Care Clinic/Center
- San Antonio, TX
National Provider Identifier
1043761463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 160290
- Legal business name
- LEGACY TRAILS MEDICAL CENTER
- Practice address
- 9211 Potranco Rd
San Antonio, TX 78251 - Phone
- (210) 858-4420
- NPI assigned
- Oct 20, 2016
- Organization subpart
- Yes
- Parent organization
- FIRST CHOICE EMERGENCY ROOM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Williams
- Title
- Cfo
- Phone
- (972) 899-6637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | 160290 | TX | Primary |
Addresses
Primary practice location
9211 Potranco Rd
San Antonio, TX 78251
Mailing address
PO Box 840795
Dallas, TX 75284-0795
Phone (972) 899-6637
National Provider Directory
National Provider Directory- Part of
- Legacy Trails Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484092800000",
"number": "1043761463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840795",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840795",
"telephone_number": "972-899-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 POTRANCO RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-858-4420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY TRAILS MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIRST CHOICE EMERGENCY ROOM",
"enumeration_date": "2016-10-20",
"last_updated": "2017-01-11",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "972-899-6637"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "TX",
"license": "160290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.