FASTPASS UCR PLLC NPI 1780119263

NPI Information

NPI: 1780119263
Provider Name: FASTPASS UCR, PLLC
Classification: Clinic/Center - 261QU0200X
Specialization: Urgent Care
Entity Type: Organization
Doing Business As: CODE 3 URGENT CARE AT ROCKPORT
Address: 400 ENTERPRISE BLVD STE A120
ROCKPORT, TX
ZIP 78382
Phone: (361) 529-9401

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NPI Details

FASTPASS UCR, PLLC is an urgent care clinic center in Rockport, TX. FASTPASS UCR, PLLC NPI is 1780119263. The provider is registered as an organization entity type.
The provider Is Doing Business As Code 3 Urgent Care At Rockport.

The provider's business location address is:

400 ENTERPRISE BLVD STE A120
ROCKPORT, TX
ZIP 78382
Phone: (361) 529-9401
Fax: (361) 529-9402

The provider's authorized official is Carrie E De Moor .
The authorized official title is Ceo and has the following contact phone number (469) 320-9820.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 7/10/2018.

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

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	00U9Z8	OTHER	TEXAS	BCBSTX
2	378405001	MEDICAID	TEXAS
3	378405002	OTHER	TEXAS	CSHCN

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: 11/21/2025

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