Emergency Care USA

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160018 Issued in TX

Legal business name

EMERGENCY CARE USA

Practice address

711 E Southlake Blvd Ste 300
Southlake, TX 76092-6370

Phone

(817) 442-0577

Fax

(817) 442-0527

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles J O'Hearn, M.D.

Title

Owner

Phone

(817) 442-0577

Specialties & licenses 1

Addresses

Other names 1

• Southlake Freestanding Emergency Medicine Center Doing business as

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1578872933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E SOUTHLAKE BLVD STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926370",
            "telephone_number": "817-442-0577",
            "fax_number": "817-442-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E SOUTHLAKE BLVD STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926370",
            "telephone_number": "817-442-0577",
            "fax_number": "817-442-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY CARE USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "O'HEARN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-442-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Freestanding Emergency Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer D Elliott, M.S., L.P.C.
• Shelley Kay Gore Elliott, MS, LPC
• Allison Ellis, LMFT-ASSOCIATE
• Lara Gabrielle Ely
• Obinna C. Emechebe-Kennedy, M.D., PHARM.D.
• Emergency Centers of Texas, LTD
• Sarah Enchautegui, PMHNP-BC
• Encompass Therapy & Counseling, PC
• Hayes Engholm
• Carly England

• Emergency Care Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.