Organization Active NPI

Fossil Creek Ers Acquisition Partners LLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1801681606
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
FOSSIL CREEK ERS ACQUISITION PARTNERS LLC
Practice address
22250 Bulverde Rd Ste 120
San Antonio, TX 78261-3082
Phone
(210) 401-8185
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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

22250 Bulverde Rd Ste 120
San Antonio, TX 78261-3082

Mailing address

PO Box 93059
Southlake, TX 76092-1059
Phone (817) 420-0034

Other names 1

  • Fossil Creek Complete Care Doing business as

National Provider Directory

National Provider Directory

Locations

22250 Bulverde Rd
Ste 120
San Antonio, TX 78261
Phone (210) 401-8185

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1801681606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93059",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921059",
            "telephone_number": "817-420-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 BULVERDE RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613082",
            "telephone_number": "210-401-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSSIL CREEK ERS ACQUISITION PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "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": "Fossil Creek Complete Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.