Ec Bandera, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160054 Issued in TX

Legal business name

EC BANDERA, LLC

Practice address

8703 Bandera Road
San Antonio, TX 78250

Phone

(281) 784-1500

Fax

(281) 784-1653

NPI assigned

Jul 10, 2012

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Seay, M.D.

Title

Ceo

Phone

(281) 784-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1952666448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR",
            "address_2": "SUITE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731733",
            "telephone_number": "281-784-1500",
            "fax_number": "281-784-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 BANDERA ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78250",
            "telephone_number": "281-784-1500",
            "fax_number": "281-784-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC BANDERA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-784-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "HH057E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, 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 Aug 14, 2014; 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.