Eastchase Texas Emergency Center, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EASTCHASE TEXAS EMERGENCY CENTER, LLC

Practice address

1251 Eastchase Pkwy
Fort Worth, TX 76120-3893

Phone

(817) 753-3006

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Sara Swift

Title

Associate Director

Phone

(301) 768-2639

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrico Gulua Aguas, MD

  • Internal Medicine Physician
  • Crosbyton, TX
  • NPI 1285697979

  Emergency Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1184305609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WEST LOOP S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770270003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 EASTCHASE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761203893",
            "telephone_number": "817-753-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTCHASE TEXAS EMERGENCY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "301-768-2639"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie Christian Earnest, DC
• Chelsea Easley, MD
• Robert Harlan Easley, CRNA
• Ashli East, M.ED., LPC
• Eastchase Mighty PLLC
• Christie Eastep, RD, LD
• Easter Seals North Texas Inc.
• Jared Easterling, MD
• Larry E Easterling, MD
• Eastland Memorial Hospital District

• Emergency Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.