Organization Active NPI

North Texas Excel Physicians II, PLLC

  • Emergency Care Clinic/Center
  • Weatherford, TX
National Provider Identifier
1003354572
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
160167 Issued in TX
Legal business name
NORTH TEXAS EXCEL PHYSICIANS II, PLLC
Doing business as
EXCEL ER
Practice address
730 Adams Dr
Weatherford, TX 76086-6266
Phone
(817) 594-0911
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Smith
Title
Credentialing Coordinator
Phone
(361) 884-2904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 160167 TX Primary

Addresses

Primary practice location

730 Adams Dr
Weatherford, TX 76086-6266

Mailing address

PO Box 6525
Corpus Christi, TX 78466-6525
Phone (361) 884-2904

Other names 1

  • EXCEL ER Doing business as

National Provider Directory

National Provider Directory

Locations

730 Adams Dr
Weatherford, TX 76086
Phone (817) 594-0911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1003354572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6525",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666525",
            "telephone_number": "361-884-2904",
            "fax_number": "361-884-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ADAMS DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866266",
            "telephone_number": "817-594-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS EXCEL PHYSICIANS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "361-884-2904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.