EMCC CHISHOLM TRAIL LLC NPI 1992273544

NPI Information

EMCC CHISHOLM TRAIL, LLC is an emergency care clinic center in Fort Worth, TX. EMCC CHISHOLM TRAIL, LLC NPI is 1992273544. The provider is registered as an organization entity type.
The provider Is Doing Business As Surepoint Emergency Center Chisholm Trail.

The provider's business location address is:

7445 OAKMONT BLVD
FORT WORTH, TX
ZIP 76132-905
Phone: (817) 423-8444
Fax: (817) 423-8446

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 45D2084189 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/12/2018 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:

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