Fossil Creek ER Physicians PLLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

FOSSIL CREEK ER PHYSICIANS PLLC

Practice address

22250 Bulverde Rd
Suite 120
San Antonio, TX 78261-3084

Phone

(210) 401-8185

Fax

(210) 401-8187

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Neiman, ESQ.

Title

General Counsel

Phone

(817) 421-0034

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Braden Neiman, MD

  • Neurology Physician
  • Boerne, TX
  • NPI 1356302871
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1831513944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93058",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921058",
            "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": "22250 BULVERDE RD",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613084",
            "telephone_number": "210-401-8185",
            "fax_number": "210-401-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSSIL CREEK ER PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "817-421-0034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forward Life Counseling, LLC
• Forza Physiotherapy and Wellness, LLC
• Stanley Toh Forze, RN
• Daniel Richard Foss, DC
• David Robert Foss, MD
• Fossil Creek Ers Acquisition Partners LLC
• Anita L Foster, CCC-SLP
• Courtney Foster, CCP
• Cynthia Kay Foster, RNC, NNP
• Deanna Foster

• Emergency Medical Services (Emergency Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.