NORTH TEXAS EXCEL PHYSICIANS PLLC NPI 1124484233

NPI Information

NPI: 1124484233
Provider Name: NORTH TEXAS EXCEL PHYSICIANS PLLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 45D2060957

Address:
4561 HERITAGE TRACE PARKWAY
FORT WORTH, TX
ZIP 76244
Phone: (817) 753-7911
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NORTH TEXAS EXCEL PHYSICIANS PLLC is an emergency care clinic center in Fort Worth, TX. NORTH TEXAS EXCEL PHYSICIANS PLLC NPI is 1124484233. The provider is registered as an organization entity type.

The provider's business location address is:

4561 HERITAGE TRACE PARKWAY
FORT WORTH, TX
ZIP 76244
Phone: (817) 753-7911

The provider's authorized official is Christopher Kwon .
The authorized official title is Director and has the following contact phone number (817) 753-7911.

The CLIA number assigned to this NPI record is 45D2060957 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 7/6/2016.

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
1	261QE0002X	Clinic/Center	Emergency Care	N0192	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N0192	OTHER	TEXAS	MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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