Organization Active NPI

North Texas ER II, LLC

  • Emergency Care Clinic/Center
  • Keller, TX
National Provider Identifier
1366828964
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
NORTH TEXAS ER II, LLC
Practice address
4561 Heritage Trace Parkway
Keller, TX 76244
Phone
(817) 753-7911
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Nicholas McLain, M.D.
Title
Manager
Phone
(817) 594-0911

Specialties & licenses 1

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

Addresses

Primary practice location

4561 Heritage Trace Parkway
Keller, TX 76244

Mailing address

4561 Heritage Trace Parkway
Keller, TX 76244
Phone (817) 753-7911

Other names 1

  • EXCEL ER Doing business as

National Provider Directory

National Provider Directory

Locations

4561 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (214) 906-8899

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1366828964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 HERITAGE TRACE PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-753-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 HERITAGE TRACE PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-753-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ER II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-594-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.