Organization Active NPI

ER of NRH LLC

Doing business as ER of Watauga

  • Emergency Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1003489212
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
ER OF NRH LLC
Doing business as
ER of Watauga
Practice address
5401 Basswood Blvd
Fort Worth, TX 76137-6909
Phone
(817) 945-5500
Fax
(817) 945-5600
NPI assigned
Jul 24, 2021
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Abbas R Mian, MDNPI 1275540007
Title
President
Phone
(817) 945-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5401 Basswood Blvd
Fort Worth, TX 76137-6909

Mailing address

5401 Basswood Blvd
Fort Worth, TX 76137-6909
Phone (817) 945-5500

Other names 1

  • ER of Watauga Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1003489212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 BASSWOOD BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376909",
            "telephone_number": "817-945-5500",
            "fax_number": "817-945-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BASSWOOD BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376909",
            "telephone_number": "817-945-5500",
            "fax_number": "817-945-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER OF NRH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-945-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ER of Watauga",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ER of Watauga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.