Ec Potranco, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160133 Issued in TX

Legal business name

EC POTRANCO, LLC

Practice address

9255 Dallas Pkwy
110
Frisco, TX 75033-4211

Phone

(281) 784-1500

Fax

(281) 209-8930

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Timothy Seay, M.D.

Title

Managing Partner

Phone

(281) 784-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1275935561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 DALLAS PKWY",
            "address_2": "110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334211",
            "telephone_number": "281-784-1500",
            "fax_number": "281-209-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9255 DALLAS PKWY",
            "address_2": "110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334211",
            "telephone_number": "281-784-1500",
            "fax_number": "281-209-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC POTRANCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-784-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH135E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.