Medco ER Carrollton, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

MEDCO ER CARROLLTON, LLC

Practice address

2745 E Belt Line Rd
Carrollton, TX 75006-5436

Phone

(469) 478-4200

Fax

(469) 840-4608

NPI assigned

Dec 4, 2019

Last updated

Dec 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorma L Kohler, MBA

Title

Vice President of Operations

Phone

(832) 248-6900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1255978722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64547",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794644547",
            "telephone_number": "469-478-4200",
            "fax_number": "469-840-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065436",
            "telephone_number": "469-478-4200",
            "fax_number": "469-840-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO ER CARROLLTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "DORMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "832-248-6900",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.