Organization Active NPI

My ER Stcpr, LP

  • Emergency Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1043767569
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
MY ER STCPR, LP
Practice address
5431 North Loop 1604 West
San Antonio, TX 78257
Phone
(844) 488-6937
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Cradeur, M.D.
Title
Partner
Phone
(512) 392-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

5431 North Loop 1604 West
San Antonio, TX 78257

Mailing address

2810 S Ih 35
San Marcos, TX 78666-5929
Phone (512) 392-7800

Other names 1

  • My Emergency Room 24/7 Doing business as

National Provider Directory

National Provider Directory

Locations

5431 N Loop 1604 W
San Antonio, TX 78249
Phone (844) 488-6937

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1043767569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S IH 35",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665929",
            "telephone_number": "512-392-7800",
            "fax_number": "512-392-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 NORTH LOOP 1604 WEST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "844-488-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ER STCPR, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "CRADEUR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "512-392-7800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Emergency Room 24/7",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.