LEGACY TRAILS MEDICAL CENTER (NPI# 1043761463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043761463 |
| Entity Type | Organization |
| Organization Name | LEGACY TRAILS MEDICAL CENTER |
| Practice Address |
9211 Potranco Rd San Antonio TX 78251 |
| Mailing Address |
Po Box 840795 Dallas TX 75284-0795 |
| Practice Telephone | 2108584420 |
| Mailing Telephone | 9728996637 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | FRANK WILLIAMS (CFO) |
| Authorized Official Telephone | 9728996637 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIRST CHOICE EMERGENCY ROOM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
160290 | TX | Ambulatory Health Care Facilities |
| Street Address |
9211 POTRANCO RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222988 | Nuch of Texas | Clinic/Center | 5900 Broadway St, San Antonio, TX 78209-5236 | 2019-05-31 |
| 1174059208 | The Emergency Center At Alamo Ranch, LLC | Clinic/Center | 11320 Alamo Ranch Parkway, San Antonio, TX 78253 | 2017-05-10 |
| 1063955466 | De Zavala Medical Center | Clinic/Center | 12805 W Interstate 10, San Antonio, TX 78249-2211 | 2016-12-02 |
| 1043762578 | Coastal Er Vii, LLC | Clinic/Center | 3154 Se Military Dr Ste 103, San Antonio, TX 78223-3975 | 2016-11-01 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1568833762 | Plains Er Management, Ltd | Clinic/Center | 15140 Nacogdoches Rd, San Antonio, TX 78247-1212 | 2015-10-13 |
| 1184001158 | Potranco Medical Center | Clinic/Center | 738 W Loop 1604 N, San Antonio, TX 78251 | 2015-04-29 |
| 1609268879 | Alamo Heights Complete Care LLC | Clinic/Center | 6496 N New Braunfels Ave, San Antonio, TX 78209-3827 | 2015-02-25 |
| 1811307697 | Wilderness-hardy Oak Medical Center, LLC | Clinic/Center | 23511 Hardy Oak Blvd, San Antonio, TX 78258 | 2014-05-02 |
| 1396174470 | Culebra - Tezel Medical Center, LLC | Clinic/Center | 5530 Tezel Rd, San Antonio, TX 78250-4194 | 2013-11-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
Please comment or provide details below to improve the information on LEGACY TRAILS MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.