COMPLETE CARE SOUTHLAKE – NPI #1174937668
Clinic/Center

COMPLETE CARE SOUTHLAKE is an AHC clinic located in SOUTHLAKE, TX. NPPES has assigned the NPI number 1174937668 to COMPLETE CARE SOUTHLAKE on June 12, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPLETE CARE SOUTHLAKE” is a dba name, the actual legal business name for this organization is COMPLETE EMERGENCY CARE SOUTHLAKE LLC. 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 previously updated about 2 years ago on Mar 19, 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 COMPLETE CARE SOUTHLAKE below.

NPI Profile for
COMPLETE EMERGENCY CARE SOUTHLAKE LLC

NPI Number
1174937668
Enumeration Date

(about 12 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
COMPLETE EMERGENCY CARE SOUTHLAKE LLC
Doing Business As (dba): COMPLETE CARE SOUTHLAKE
Primary location
321 W SOUTHLAKE BLVD STE 140
SOUTHLAKE, TX 76092-6186
Phone: (817) 421-0034 Fax: (817) 421-0036
Mailing address
PO BOX 93806
SOUTHLAKE, TX 76092-0117
Phone: (817) 421-0034 Fax:
Organization Subpart
No
Authorized Official
JOHN NEIMAN
GENERAL COUNSEL
Phone: (817) 421-0034
Updated
Certification Date
Mar 19, 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.