Organization Active NPI

Boerne Emergency Room, LLC

  • Emergency Care Clinic/Center
  • Boerne, TX
National Provider Identifier
1285544114
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
BOERNE EMERGENCY ROOM, LLC
Practice address
103 Gallant Fox
Boerne, TX 78006
Phone
(830) 443-6400
Fax
(830) 443-6150
NPI assigned
Sep 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Mike Lowry, MD
Title
Partner
Phone
(856) 498-9073

Specialties & licenses 1

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

Addresses

Primary practice location

103 Gallant Fox
Boerne, TX 78006

Mailing address

14493 S Padre Island Dr Ste Ano198
Corpus Christi, TX 78418-5931
Phone (830) 443-6400

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1285544114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14493 S PADRE ISLAND DR STE ANO198",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185931",
            "telephone_number": "830-443-6400",
            "fax_number": "830-443-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GALLANT FOX",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-443-6400",
            "fax_number": "830-443-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE EMERGENCY ROOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-498-9073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.