Organization Name: | CEC LAKEWAY URGENT CARE PHYSICIANS PLLC |
NPI Number: | 1285088161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN BRAXTON NEIMAN (GENERAL COUNSEL) |
Mailing Address: | 1518 Ranch Road 620 S Lakeway |
State: | TX US |
Postal Code: | 787346291 |
Phone Number: | 8175273409 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2016 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |