Organization Active NPI

Forefront Whiterock Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1104271568
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FOREFRONT WHITEROCK PHYSICIANS PLLC
Practice address
7331 Gaston Ave
Suite 180
Dallas, TX 75214-4131
Phone
(281) 961-3217
NPI assigned
May 4, 2016
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Ethan Tran, M.D
Title
Owner
Phone
(281) 961-3217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

7331 Gaston Ave
Suite 180
Dallas, TX 75214-4131

Mailing address

7051 FM 1464 Rd
Richmond, TX 77407-9542
Phone (281) 961-3217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1104271568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 FM 1464 RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774079542",
            "telephone_number": "281-961-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 GASTON AVE",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144131",
            "telephone_number": "281-961-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT WHITEROCK PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-961-3217",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.