Pediatric Urgent Care Center of North Texas

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

H9459 Issued in TX

Legal business name

PEDIATRIC URGENT CARE CENTER OF NORTH TEXAS

Practice address

3400 Texas Sage TRL
148
Fort Worth, TX 76177-8603

Phone

(817) 271-4309

Fax

(817) 750-7336

NPI assigned

Sep 12, 2012

Last updated

Sep 12, 2012By 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. Michael Cowan, D.O.

Title

Owner

Phone

(817) 271-4309

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1871843284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 TEXAS SAGE TRL",
            "address_2": "148",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778603",
            "telephone_number": "817-271-4309",
            "fax_number": "817-750-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TEXAS SAGE TRL",
            "address_2": "148",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778603",
            "telephone_number": "817-271-4309",
            "fax_number": "817-750-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC URGENT CARE CENTER OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-271-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "H9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Home Healthcare, LLC
• Pediatric Surgical Associates of Ft. Worth, P. a.
• Pediatric Therapy Associates of FW
• Pediatric Therapy Services of Texas (Gemini Pediatric Therapy)
• Pediatric Urgent Care Center of Fort Worth, P.a.. (Fort Worth Concierge Plus)
• Pediatrix Medical Group of Texas Billing, Inc.
• Pediatrix Medical Group of Texas Billing, Inc.
• Steven Douglas Pedro, M.D.
• Matthew Pedroza, DDS
• Belinda Peebles- Currie, MA, PHLEB

• Urgent Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Sep 12, 2012; 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.