Healthcare Provider Details

I. General information

NPI: 1972224327
Provider Name (Legal Business Name): CORDIAL EMERGENCY MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 09/05/2022
Certification Date: 09/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5835 CALLAGHAN RD STE 502
SAN ANTONIO TX
78228-1125
US

IV. Provider business mailing address

5835 CALLAGHAN RD STE 502
SAN ANTONIO TX
78228-1125
US

V. Phone/Fax

Practice location:
  • Phone: 888-236-7911
  • Fax: 800-588-3671
Mailing address:
  • Phone: 888-236-7911
  • Fax: 800-588-3671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM IAN SCHUYLER WHITNEY
Title or Position: CHIEF OPERATING OFFICER
Credential: LP, CCP-C CP-C, FP-C
Phone: 888-236-7911