Active NPI
Medco ER
- Emergency Care Clinic/Center
- Plano, TX
National Provider Identifier
1669930194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- MEDCO ER
- Practice address
- 3960 Legacy Dr
Plano, TX 75023-8319 - Phone
- (469) 392-4000
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Saeid Shahri
- Title
- Owner
- Phone
- (469) 392-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
3960 Legacy Dr
Plano, TX 75023-8319
Mailing address
PO Box 234038
Encinitas, CA 92023-4038
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551657600000",
"number": "1669930194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 234038",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920234038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 LEGACY DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750238319",
"telephone_number": "469-392-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCO ER",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A",
"authorized_official_last_name": "SHAHRI",
"authorized_official_first_name": "SAEID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-392-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.