E-Doc Urgent Care Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

E-DOC URGENT CARE CLINIC, LLC

Practice address

651 N Denton Tap Rd
Suite 100
Coppell, TX 75019-2007

Phone

(817) 332-6644

Fax

(817) 887-5522

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Srinivas Gurram Reddy

Title

President

Phone

(817) 808-3443

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1396097945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 BROOKSHIRE DR",
            "address_2": "SOUTHLAKE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928933",
            "telephone_number": "817-332-6644",
            "fax_number": "817-887-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N DENTON TAP RD",
            "address_2": "SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192007",
            "telephone_number": "817-332-6644",
            "fax_number": "817-887-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-DOC URGENT CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "GURRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-808-3443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Paul Dunham, ATC, LAT
• Duramedical
• Andreanna Duron
• Josephine Duze
• E-Care Coppell, LLC.
• Kelsey Shae Eastman
• Ross James Ebbe, PTA
• Ec Coppell, LLC
• Denise Edmiston, L.AC.
• Edoc Urgent Care Center

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.