EMER NORTH FORT WORTH BEACH LLC NPI 1285252593

NPI Information

EMER NORTH FORT WORTH BEACH, LLC is an emergency care clinic center in Fort Worth, TX. EMER NORTH FORT WORTH BEACH, LLC NPI is 1285252593. The provider is registered as an organization entity type.
The provider Is Doing Business As Surepoint Emergency Center North Fort Worth Beach.

The provider's business location address is:

4551 WESTERN CENTER BLVD
FORT WORTH, TX
ZIP 76137-628
Phone: (817) 428-4055
Fax: (817) 428-4054

The provider's authorized official is Michelle Newsom .
The authorized official title is Vp Of Operations and has the following contact phone number (214) 259-2493.

The CLIA number assigned to this NPI record is 45D2069429 - other with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 10/12/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.