Organization Active NPI

Frisco ER Facility LLC

  • Emergency Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1295324218
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
FRISCO ER FACILITY LLC
Doing business as
Frisco ER
Practice address
12600 Rolater Rd # 100
Frisco, TX 75035-5188
Phone
(214) 810-2902
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Ahmed Shuja
Title
Ceo
Phone
(281) 772-6754

Specialties & licenses 1

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

Addresses

Primary practice location

12600 Rolater Rd # 100
Frisco, TX 75035-5188

Mailing address

PO Box 2586
Frisco, TX 75034-2856
Phone (214) 390-7697

Other names 1

  • Frisco ER Doing business as

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140276
Allen, TX 75013

12600 Rolater Rd
#100
Frisco, TX 75035
Phone (214) 810-2902

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1295324218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2586",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750342856",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 ROLATER RD # 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355188",
            "telephone_number": "214-810-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO ER FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-772-6754"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frisco ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.