Healthcare Provider Details

I. General information

NPI: 1396649984
Provider Name (Legal Business Name): COMPLETE HIGHLANDS RANCH ER PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 E COUNTY LINE RD UNIT H
HIGHLANDS RANCH CO
80126-3235
US

IV. Provider business mailing address

2360 DEAN WAY
SOUTHLAKE TX
76092-1379
US

V. Phone/Fax

Practice location:
  • Phone: 817-421-0034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE RADLEY
Title or Position: COO
Credential:
Phone: 713-591-2256