Town of Trophy Club

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

061006 Issued in TX

Legal business name

TOWN OF TROPHY CLUB

Doing business as

Trophy Club EMS

Practice address

295 Trophy Club Dr
Trophy Club, TX 76262-5659

Phone

(682) 237-2900

Fax

(817) 491-9886

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Jason Wise

Title

Authorized Official

Phone

(682) 237-2938

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trophy Club EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1811901598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 TROPHY CLUB DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625659",
            "telephone_number": "682-237-2900",
            "fax_number": "817-491-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 TROPHY CLUB DR",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625659",
            "telephone_number": "682-237-2900",
            "fax_number": "817-491-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TROPHY CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "682-237-2938"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "061006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811901598",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trophy Club EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trophy Club EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TCR Chiropractic PLLC
• Texas Em-1 Medical Services, PA
• Texas Radiation Oncology Medical Group, PLLC
• The Powerful Body PLLC
• Shilpa Elizabeth Thomas, DPT
• Trophy Club Family Medicine PA (Trophy Club Family Medicine)
• Trophy Club Medical Center LP (Baylor Scott & White Medical Center - Trophy Club)
• Trophy Club Medical Services, LLP (Trophy Club Family Medicine)
• Trophy Club Pediatrics PA
• Trophy Club Smiles PLLC

• Land Ambulance in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.