COMPLETE CARE NACOGDOCHES ROAD – NPI #1558997106
Clinic/Center

COMPLETE CARE NACOGDOCHES ROAD is an AHC clinic located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1558997106 to COMPLETE CARE NACOGDOCHES ROAD on March 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPLETE CARE NACOGDOCHES ROAD” is a dba name, the actual legal business name for this organization is NW SA FSER FACILITY 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 4 years ago on Jun 20, 2022. 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 NACOGDOCHES ROAD below.

NPI Profile for
NW SA FSER FACILITY LLC

NPI Number
1558997106
Enumeration Date

(more than 6 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
NW SA FSER FACILITY LLC
Doing Business As (dba): COMPLETE CARE NACOGDOCHES ROAD
Primary location
15140 NACOGDOCHES RD
SAN ANTONIO, TX 78247-1212
Phone: (210) 951-9300 Fax:
Mailing address
910 S KIMBALL AVE
SOUTHLAKE, TX 76092-9005
Phone: (817) 421-0034 Fax: (817) 421-0036
Organization Subpart
No
Authorized Official
JULIE RADLEY
COO
Phone: (713) 591-2256
Updated
Certification Date
Jun 20, 2022

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.