Active NPI
Cec San Antonio ER Physicians PLLC
- Emergency Medical Services (Emergency Medicine) Physician
- San Antonio, TX
National Provider Identifier
1124364302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- M9966
- Legal business name
- CEC SAN ANTONIO ER PHYSICIANS PLLC
- Practice address
- 10628 Culebra Rd
San Antonio, TX 78251-1312 - Phone
- (940) 733-5206
- Fax
- (817) 421-0036
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Radley
- Title
- C.O.O.
- Phone
- (817) 421-0034
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | M9966 | TX | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | M6729 | TX |
Addresses
Primary practice location
10628 Culebra Rd
San Antonio, TX 78251-1312
Mailing address
PO Box 92515
Southlake, TX 76092-0515
Phone (940) 733-5206
National Provider Directory
National Provider DirectoryLocations
10628 Culebra Rd
San Antonio, TX 78251
Phone (210) 520-3737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1124364302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92515",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760920515",
"telephone_number": "940-733-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 CULEBRA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782511312",
"telephone_number": "940-733-5206",
"fax_number": "817-421-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEC SAN ANTONIO ER PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "RADLEY",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "817-421-0034"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "M9966",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "M6729",
"primary": false
}
],
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.