Organization Active NPI

Erca Coppell LLC

  • Emergency Care Clinic/Center
  • Coppell, TX
National Provider Identifier
1306100995
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
ERCA COPPELL LLC
Practice address
750 S Macarthur Blvd
Coppell, TX 75019-4200
Phone
(940) 733-5206
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Braxton Neiman
Title
Member
Phone
(940) 733-5206

Specialties & licenses 1

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

Addresses

Primary practice location

750 S Macarthur Blvd
Coppell, TX 75019-4200

Mailing address

1429 Waltham Dr
Southlake, TX 76092-9605
Phone (940) 733-5206

National Provider Directory

National Provider Directory

Locations

750 S MacArthur Blvd
Coppell, TX 75019
Phone (469) 634-3444

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1306100995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 WALTHAM DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929605",
            "telephone_number": "940-733-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S MACARTHUR BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194200",
            "telephone_number": "940-733-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERCA COPPELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "BRAXTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "940-733-5206"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.