FAIR OAKS EMERGENCY ROOM LLC NPI 1053175794

NPI Information

  • NPI: 1053175794
  • Provider Name: FAIR OAKS EMERGENCY ROOM LLC
  • Classification: Clinic/Center - 261QE0002X
  • Specialization: Emergency Care
  • Entity Type: Organization
  • CLIA Number: 45D2305958
  • Address: 27638 INTERSTATE 10 W
    BOERNE, TX
    ZIP 78006
  • Phone: (979) 500-3008

Map and Directions

Get Directions

NPI Details

FAIR OAKS EMERGENCY ROOM LLC is an emergency care clinic center in Boerne, TX. FAIR OAKS EMERGENCY ROOM LLC NPI is 1053175794. The provider is registered as an organization entity type.

The provider's business location address is:

27638 INTERSTATE 10 W
BOERNE, TX
ZIP 78006
Phone: (979) 500-3008
Fax: (979) 481-5120

The provider's authorized official is Israel J Tellez Flores .
The authorized official title is Managing Member and has the following contact phone number (313) 704-3044.

The CLIA number assigned to this NPI record is 45D2305958 - other - fser with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/13/2024 and was last updated on 9/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.