Organization Active NPI

Cec San Antonio ER Physicians PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1124364302
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
M9966 Issued in TX
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

Updated by the provider on Mar 19, 2024

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)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X M9966 TX Primary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.