Fastpass Ucr, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FASTPASS UCR, PLLC

Doing business as

Code 3 Urgent Care at Rockport

Practice address

400 Enterprise Blvd Ste A120
Rockport, TX 78382-4341

Phone

(361) 529-9401

Fax

(361) 529-9402

NPI assigned

Apr 21, 2017

Last updated

Jul 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carrie E De Moor, MD

Title

Ceo

Phone

(469) 320-9820

Specialties & licenses 1

Addresses

Other names 1

• Code 3 Urgent Care at Rockport Doing business as

Locations

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1780119263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 260",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346913",
            "telephone_number": "469-208-5297",
            "fax_number": "214-260-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ENTERPRISE BLVD STE A120",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783824341",
            "telephone_number": "361-529-9401",
            "fax_number": "361-529-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTPASS UCR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "DE MOOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-320-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Code 3 Urgent Care at Rockport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Ann J Elliot, RPH
• Hillary Cherre Engleman, FNP-C
• Ernest C. Alsop, MD, PA
• Charles Esterlein, D.O.
• Family Medicine of Rockport
• Virginia Gayle Fleming-Randolph, PTA
• Jarod Hamilton Fowler, PHARM.D.
• Kari Marie Francis, RPH
• Nick Giannone, M.D.
• David Gilmore, M.D.

• Urgent Care Clinic/Center in Rockport, TX
• Providers in Rockport, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.