Organization Active NPI

Texacare Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1376090472
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TEXACARE URGENT CARE, PLLC
Practice address
3107 Greene Ave Ste 1
Fort Worth, TX 76109-2319
Phone
(803) 979-4903
NPI assigned
Sep 6, 2016
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Shane Parker Cole, MDNPI 1003947961
Title
Partner/Authorized Official
Phone
(877) 485-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Emergency Medicine Physician 207P00000X NU

Addresses

Primary practice location

3107 Greene Ave Ste 1
Fort Worth, TX 76109-2319

Mailing address

PO Box 721561
Norman, OK 73070-8201
Phone (877) 485-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161205001383 TX Part B Supplier - Clinic/Group Practice 0941580120 Receives reassigned benefits from 22 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

15240 Dallas Pkwy
Dallas, TX 75248
Phone (214) 363-7447

3107 Greene Ave
Ste 1
Fort Worth, TX 76109
Phone (803) 979-4903

3107 Greene Ave
Ft Worth, TX 76109
Phone (817) 439-9539

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1376090472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721561",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708201",
            "telephone_number": "877-485-4474",
            "fax_number": "405-844-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 GREENE AVE STE 1",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092319",
            "telephone_number": "803-979-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXACARE URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PARTNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "877-485-4474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.