FAIR OAKS EMERGENCY ROOM LLC
NPI 1053175794
Clinic/Center - Emergency Care in Boerne, TX

Q: What is Fair Oaks Emergency Room LLC's NPI number?

The NPI number for Fair Oaks Emergency Room LLC is 1053175794. It was assigned to this organization in the NPPES registry on February 13, 2024.

Q: What is Fair Oaks Emergency Room LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

Active since February 13, 2024CLIA 45D2305958 · Accreditation

27638 INTERSTATE 10 W, BOERNE, TX 78006(979) 500-3008(979) 481-5120 Get Directions Write a Review

NPPES record last updated: September 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Fair Oaks Emergency Room Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIR OAKS EMERGENCY ROOM LLC (NPI 1053175794) is a healthcare organization registered as an emergency care in Boerne, Texas and active in the NPI registry since February 2024. The organization holds an CLIA Accreditation certificate valid through April 28, 2027 and lists Israel J Tellez Flores, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053175794

Entity TypeOrganization

Primary Taxonomy261QE0002X

Legal Business NameFAIR OAKS EMERGENCY ROOM LLC

Location Address27638 INTERSTATE 10 WBoerne, TX 78006

Mailing Address27638 Interstate 10 WBoerne, TX 78006 · (979) 500-3008 · Fax (979) 481-5120

Phone(979) 500-3008

Fax(979) 481-5120

Organization SubpartNo

Authorized OfficialIsrael J Tellez FloresManaging Member · (313) 704-3044

Enumeration DateFebruary 13, 2024

Last NPPES UpdateSeptember 21, 2024

NPPES CertifiedSeptember 21, 2024

✔ NPI 1053175794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities

Taxonomy Code261QE0002X

27638 INTERSTATE 10 W, Boerne, TX 78006

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2305958

Fair Oaks Emergency Room · Boerne, TX

Active · expires Apr 28, 2027

CLIA Number45D2305958

Laboratory TypeFser

Certificate Effective DateApril 29, 2025

Certificate Expiration DateApril 28, 2027

Laboratory DirectorDr. Israel T. Flores

Laboratory Phone(210) 903-2424

Laboratory LocationFair Oaks Emergency Room27638 Ih-10 W, Boerne, TX 78006

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESPADA PHYSICIANS GROUP PLLC

Emergency Medicine (Emergency Medical Services)

27638 INTERSTATE 10 W
BOERNE, TX 78006

Kendall County (979) 500-3008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fair Oaks Emergency Room LLC's NPI number?

The NPI number for Fair Oaks Emergency Room LLC is 1053175794. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is Fair Oaks Emergency Room LLC located?

Fair Oaks Emergency Room LLC is located at 27638 Interstate 10 W, Boerne, TX 78006. The listed phone number is (979) 500-3008.

What is Fair Oaks Emergency Room LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

Does Fair Oaks Emergency Room LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2305958) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fair Oaks Emergency Room LLC was last updated on September 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.