ER OF WATAUGA PLLC NPI 1467025676

NPI Information

NPI: 1467025676
Provider Name: ER OF WATAUGA PLLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
5401 BASSWOOD BLVD
FORT WORTH, TX
ZIP 76137
Phone: (179) 455-5008
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ER OF WATAUGA PLLC is an emergency care clinic center in Fort Worth, TX. ER OF WATAUGA PLLC NPI is 1467025676. The provider is registered as an organization entity type.

The provider's business location address is:

5401 BASSWOOD BLVD
FORT WORTH, TX
ZIP 76137-909
Phone: (179) 455-5008
Fax: (817) 945-5600

The provider's authorized official is Abbas R Mian .
The authorized official title is President and has the following contact phone number (214) 906-8899.

The enumeration date for this NPI number is 7/24/2021 and was last updated on 7/27/2021.

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			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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