Active NPI
Primary Care Clinic
- Emergency Care Clinic/Center
- Fort Worth, TX
National Provider Identifier
1912815465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- PRIMARY CARE CLINIC
- Practice address
- 5058 El Lago BND
Fort Worth, TX 76119-5430 - Phone
- (646) 914-4848
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Smith
- Title
- MD
- Phone
- (646) 914-4848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
5058 El Lago BND
Fort Worth, TX 76119-5430
Mailing address
5058 El Lago BND
Fort Worth, TX 76119-5430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1912815465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5058 EL LAGO BND",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761195430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5058 EL LAGO BND",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761195430",
"telephone_number": "646-914-4848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "646-914-4848"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.