NPI age
12 years
Enumerated 2014-01-30
● Active Type 2 · Organization
22250 Bulverde Cec Fossil Creek Llc
22250 Bulverde Cec Fossil Creek Llc is 1 of 776 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Radley
Coo
Last NPPES update
2022-02-10
Source: monthly bulk 2026-05
How this organization compares
Across 776 active clinic/center providers in Texas.
NPI age
12 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
22250 Bulverde Rd, 120
San Antonio, TX 782613084
Mailing address
Po Box 93059
Southlake, TX 760921059
Authorized official
Julie Radley
Coo
📞 7135912256
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Salvador Abrams, MD Emergency Medicine NPI 1790891661
- Teresa Godinez, M.D. Internal Medicine NPI 1922270982
- Brian Johnson, NP Nurse Practitioner NPI 1205875309
- Obinna Uzowulu, M.D. Family Medicine NPI 1003007295
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Fossil Creek Complete Care
-
Fossil Creek Complete Care
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.