CD URGENT CARE CENTER 5 PLLC NPI 1407224850

NPI Information

NPI: 1407224850
Provider Name: CD URGENT CARE CENTER 5, PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 45D2104806

Address:
3020 W 7TH ST
SUITE 210
FORT WORTH, TX
ZIP 76107
Phone: (214) 871-7000
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CD URGENT CARE CENTER 5, PLLC is an urgent care clinic center in Fort Worth, TX. CD URGENT CARE CENTER 5, PLLC NPI is 1407224850. The provider is registered as an organization entity type.

The provider's business location address is:

3020 W 7TH ST
SUITE 210
FORT WORTH, TX
ZIP 76107-202
Phone: (214) 871-7000
Fax: (214) 871-7020

The provider's authorized official is Brenna J Nance .
The authorized official title is Managing Partner and has the following contact phone number (214) 404-1958.

The CLIA number assigned to this NPI record is 45D2104806 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 9/2/2015.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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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