Organization Active NPI

Lakeway Era Acquistion Partners LLC

  • Emergency Care Clinic/Center
  • Lakeway, TX
National Provider Identifier
1174417240
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
LAKEWAY ERA ACQUISTION PARTNERS LLC
Practice address
1518 Ranch Road 620 S Ste 200
Lakeway, TX 78734-6429
Phone
(512) 524-2290
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Julie Radley
Title
Coo
Phone
(713) 591-2256

Specialties & licenses 1

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

Addresses

Primary practice location

1518 Ranch Road 620 S Ste 200
Lakeway, TX 78734-6429

Mailing address

PO Box 92756
Southlake, TX 76092-0756
Phone (817) 421-0012

Other names 1

  • VIK Complete Care Lakeway Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeway Complete Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1174417240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92756",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920756",
            "telephone_number": "817-421-0012",
            "fax_number": "817-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 RANCH ROAD 620 S STE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346429",
            "telephone_number": "512-524-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY ERA ACQUISTION PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-591-2256"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIK Complete Care Lakeway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.