Healthcare Provider Details

I. General information

NPI: 1942099593
Provider Name (Legal Business Name): SM EMERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 S I-35
SAN MARCOS TX
78666
US

IV. Provider business mailing address

5525 BURNET RD STE A
AUSTIN TX
78756-1646
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-0911
  • Fax:
Mailing address:
  • Phone: 512-451-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. IZAAN ROOS
Title or Position: VP OF OPERATIONS
Credential:
Phone: 512-451-0911