Active NPI
Fastpass Ucc, PLLC
- Urgent Care Clinic/Center
- Frisco, TX
National Provider Identifier
1821523382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- FASTPASS UCC, PLLC
- Practice address
- 12600 Rolater Rd Ste 120
Frisco, TX 75035-5188 - Phone
- (214) 383-7543
- Fax
- (214) 383-7544
- NPI assigned
- Apr 21, 2017
- 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
- Carrie E De Moor, MD
- Title
- Authorized Official; Ceo
- Phone
- (469) 320-9820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
12600 Rolater Rd Ste 120
Frisco, TX 75035-5188
Mailing address
5300 Town and Country Blvd Ste 260
Frisco, TX 75034-6913
Phone (469) 208-5297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511138 | Other | TX | MEDICARE |
Other names 1
- Code 3 Urgent Care
National Provider Directory
National Provider Directory- Part of
- Fastpass Ucc PLLC
Locations
4228 N Josey Ln
Ste 150
Carrollton, TX 75010
Phone (469) 320-9821
3111 Teasley Ln
#120
Denton, TX 76205
Phone (940) 514-8121
12600 Rolater Rd
Ste 120
Frisco, TX 75035
Phone (214) 383-7543
5300 Town and Country Blvd
Ste 260
Frisco, TX 75034
Phone (469) 208-5297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1821523382",
"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": "12600 ROLATER RD STE 120",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355188",
"telephone_number": "214-383-7543",
"fax_number": "214-383-7544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASTPASS UCC, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FASTPASS UCC, PLLC",
"enumeration_date": "2017-04-21",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "DE MOOR",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL; CEO",
"authorized_official_telephone_number": "469-320-9820",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "511138",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Code 3 Urgent Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Code 3 Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.