Emcc Pantego, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMCC PANTEGO, LLC

Doing business as

Surepoint Emergency Center Pantego

Practice address

1607 S Bowen Rd
Pantego, TX 76013-3337

Phone

(817) 795-3295

Fax

(817) 795-3296

NPI assigned

Nov 12, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Newsom

Title

President

Phone

(469) 830-8200

Specialties & licenses 1

Addresses

Other names 1

• Surepoint Emergency Center Pantego Doing business as

Locations

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1639647282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 35",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "469-830-8200",
            "fax_number": "469-830-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S BOWEN RD",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760133337",
            "telephone_number": "817-795-3295",
            "fax_number": "817-795-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCC PANTEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-830-8200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surepoint Emergency Center Pantego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Rose Doss, PH.D.,L.P.C.
• Roger Ron Doss, PH.D.,L.P.C.
• Patricia Ealey
• Alexia Eller, LCSW
• Emcc Pantego Physicians PLLC
• Emergency Physicians of Pantego PLLC
• Viema Chinwe Emmanuel-Perez, LPC, LCDC-I
• Endurance Home Health Care
• Nkechi F Ezema, PMHNP-BC
• Faco Healthcare Services

• Emergency Medicine Physician in Pantego, TX
• Providers in Pantego, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.