Active NPI
Fastpass Ucm, PLLC
- Emergency Medicine Physician
- Mesquite, TX
National Provider Identifier
1811432115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- FASTPASS UCM, PLLC
- Practice address
- 1080 E Cartwright Rd
Suite 120
Mesquite, TX 75149 - Phone
- (214) 275-9234
- NPI assigned
- Dec 22, 2016
- Organization subpart
- Yes
- Parent organization
- FASTPASS UCC, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carrie De Moor
- Title
- President
- Phone
- (214) 275-9234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1080 E Cartwright Rd
Suite 120
Mesquite, TX 75149
Mailing address
5300 Town and Country Blvd
Suite 260
Frisco, TX 75034-6894
Phone (469) 320-9820
Other names 1
- Code 3 Urgent Care at Mesquite
National Provider Directory
National Provider Directory- Part of
- Code 3 Emergency Partners at Carrollton LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1811432115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 TOWN AND COUNTRY BLVD",
"address_2": "SUITE 260",
"city": "FRISCO",
"state": "TX",
"postal_code": "750346894",
"telephone_number": "469-320-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E CARTWRIGHT RD",
"address_2": "SUITE 120",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75149",
"telephone_number": "214-275-9234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASTPASS UCM, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FASTPASS UCC, PLLC",
"enumeration_date": "2016-12-22",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "DE MOOR",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-275-9234",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Code 3 Urgent Care at Mesquite",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.