Complete Temple Fser Facility LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

COMPLETE TEMPLE FSER FACILITY LLC

Practice address

1551 W Central Ave
Temple, TX 76504-4005

Phone

(254) 435-5900

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Julie J Radley

Title

Coo

Phone

(713) 591-2256

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1568098119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S KIMBALL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929005",
            "telephone_number": "817-421-0034",
            "fax_number": "817-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W CENTRAL AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765044005",
            "telephone_number": "254-435-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE TEMPLE FSER FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "J",
        "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": []
}

• Shari Lyn Collins, FNP
• Haley Colon
• Christopher Colvin, M.D.
• Julie Xindaris Colvin, MD
• Community Home Oxygen Inc
• Comprehensive Injury Treatment Services PLLC
• Victoria Compton, LPC
• Cathryn L Comstock, AU.D.
• Luis A. Concepcion, M.D.
• Emily Ann Coniglio, MA, CF-SLP

• Emergency Care Clinic/Center in Temple, TX
• Providers in Temple, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.