FAIR OAKS EMERGENCY ROOM LLC – NPI #1053175794
Clinic/Center

FAIR OAKS EMERGENCY ROOM LLC is an AHC clinic located in BOERNE, TX. NPPES has assigned the NPI number 1053175794 to FAIR OAKS EMERGENCY ROOM LLC on February 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was last updated on Sep 21, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIR OAKS EMERGENCY ROOM LLC below.

NPI Profile for
FAIR OAKS EMERGENCY ROOM LLC

NPI Number
1053175794
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIR OAKS EMERGENCY ROOM LLC
Primary location
27638 INTERSTATE 10 W
BOERNE, TX 78006
Phone: (979) 500-3008 Fax: (979) 481-5120
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ISRAEL TELLEZ FLORES
MANAGING MEMBER
Phone: (313) 704-3044
Updated
Certification Date
Sep 21, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.