Active NPI
Schertz Cibolo Emergency Center, LLC
- Emergency Care Clinic/Center
- Schertz, TX
National Provider Identifier
1144698689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- SCHERTZ CIBOLO EMERGENCY CENTER, LLC
- Practice address
- 4825 Roy Richard Dr
Suite 200
Schertz, TX 78154 - Phone
- (210) 202-1123
- Fax
- (888) 604-9219
- NPI assigned
- Sep 14, 2015
- 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
- Mr. Brian Johnson, DNP
- Title
- Ceo
- Phone
- (210) 909-5700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
4825 Roy Richard Dr
Suite 200
Schertz, TX 78154
Mailing address
4825 Roy Richard Dr
Suite 200
Schertz, TX 78154
Phone (210) 202-1123
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- San Antonio, TX
- NPI 1205875309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598572800000",
"number": "1144698689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 ROY RICHARD DR",
"address_2": "SUITE 200",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "78154",
"telephone_number": "210-202-1123",
"fax_number": "888-604-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 ROY RICHARD DR",
"address_2": "SUITE 200",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "78154",
"telephone_number": "210-202-1123",
"fax_number": "888-604-9219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHERTZ CIBOLO EMERGENCY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-14",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "210-909-5700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.