NPIMap

Organization Active NPI

Telemedicine Advantage Concierge Urgent Care

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1376165191
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TELEMEDICINE ADVANTAGE CONCIERGE URGENT CARE
Practice address
4200 South Fwy Ste 100
Fort Worth, TX 76115-1407
Phone
(817) 992-5551
Fax
(817) 910-6120
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Michael R Cowan, DO
Title
Owner/Medical Director
Phone
(817) 992-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4200 South Fwy Ste 100
Fort Worth, TX 76115-1407

Mailing address

4200 South Fwy Ste 100
Fort Worth, TX 76115-1407
Phone (817) 992-5551

Other names 1

  • Concierge Urgent Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4200 South Fwy
Ste 100
Fort Worth, TX 76115
Phone (817) 750-7334

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1376165191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151407",
            "telephone_number": "817-992-5551",
            "fax_number": "817-910-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151407",
            "telephone_number": "817-992-5551",
            "fax_number": "817-910-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDICINE ADVANTAGE CONCIERGE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-992-5551",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2020; 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.