Ec Bitters Road LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160038 Issued in TX

Legal business name

EC BITTERS ROAD LLC

Practice address

13402 San Pedro Ave
San Antonio, TX 78216-2057

Phone

(281) 784-1500

Fax

(281) 784-1653

NPI assigned

Oct 7, 2011

Organization subpart

No

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

Authorized official

Name

Timothy Seay

Title

Manager

Phone

(281) 784-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1093099129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR",
            "address_2": "SUITE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731733",
            "telephone_number": "281-784-1500",
            "fax_number": "281-784-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162057",
            "telephone_number": "281-784-1500",
            "fax_number": "281-784-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC BITTERS ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-784-1500"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "HH039E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.