Colleyville Medical Center LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160078 Issued in TX

Legal business name

COLLEYVILLE MEDICAL CENTER LLC

Doing business as

First Choice Emergency Room

Practice address

5000 State Highway 121
Colleyville, TX 76034-5908

Phone

(972) 899-6650

Fax

(972) 899-5954

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Tim Fielding

Title

Cfo

Phone

(972) 899-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• First Choice Emergency Room Doing business as

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1982048104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 STATE HIGHWAY 121",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345908",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEYVILLE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6650"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleyville Body Focus Spa and Wellness Dba Juvia Med Spa
• Colleyville Body Focus Wellness Clinic, LLC
• Colleyville Chiropractic, PLLC
• Colleyville Dentistry PLLC
• Colleyville Eye Corporation
• Colleyville Physical Therapy and Sports Rehab, PC
• Colleyville Place Assisted Living
• Colleyville Psychiatric Associates PLLC
• Colleyville Vision Associates
• Josana Elizabeth Collins, PA-C

• Emergency Care Clinic/Center in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.