Organization Active NPI

Trusted ER Keller

  • Emergency Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1093311367
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
TRUSTED ER KELLER
Practice address
5637 N Tarrant Pkwy Ste 101
Fort Worth, TX 76244-7207
Phone
(817) 402-1158
Fax
(817) 402-1157
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Dr. Thomas Andrew Barber, PHARMD, RPH
Title
Vice President
Phone
(940) 595-9030

Specialties & licenses 1

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

Addresses

Primary practice location

5637 N Tarrant Pkwy Ste 101
Fort Worth, TX 76244-7207

Mailing address

1845 Precinct Line Rd Ste 107
Hurst, TX 76054-3109
Phone (940) 595-9030

Other names 1

  • Trusted ER Keller Doing business as

National Provider Directory

National Provider Directory

Locations

5637 North Tarrant Pkwy
Ste 101
Fort Worth, TX 76244
Phone (817) 402-1158

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1093311367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 107",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "940-595-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 N TARRANT PKWY STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447207",
            "telephone_number": "817-402-1158",
            "fax_number": "817-402-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTED ER KELLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "940-595-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trusted ER Keller",
            "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 Dec 10, 2020; 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.