Active NPI
Lakeway Era Acquistion Partners LLC
- Emergency Care Clinic/Center
- Lakeway, TX
National Provider Identifier
1174417240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Lakeway Complete Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Care Clinic/Center
- Lakeway, TX
- NPI 1093165631
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
- Lake Travis Surgery Center LLC
- Lakeway Ambulatory Surgery Center, LLC
- Lakeway Dental Solutions. LLC
- Lakeway Dermatology and Skin Cancer
- Lakeway Era Acquistion Partners LLC
- Lakeway Eye Center PC
- Lakeway Eye Physicians and Surgeons
- Lakeway Health & Wellness Chiropractic, LLC
- Lakeway Hospitalists PLLC
- Lakeway Medical Clinic, LLC
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.