Good Doctor Clinic and Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

GOOD DOCTOR CLINIC AND URGENT CARE PLLC

Practice address

4759 South Fwy Ste a
Ft Worth, TX 76115-3655

Phone

(817) 923-7374

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sudath Rannulu, MD

Title

MD

Phone

(972) 296-9930

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yun Hee Baek, FNP

  • Family Nurse Practitioner
  • Irving, TX
  • NPI 1952820227
  NPD (past)
• Netsanet Gebeto, NP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1477198992
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1992210579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E WHEATLAND RD STE 108",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164918",
            "telephone_number": "972-296-9930",
            "fax_number": "972-709-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 SOUTH FWY STE A",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761153655",
            "telephone_number": "817-923-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD DOCTOR CLINIC AND URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "RANNULU",
        "authorized_official_first_name": "SUDATH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-296-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gonzalez, FNP-BC
• Nancy Jane Gonzalez, LCSW
• Stephanie Hess Gonzalez, P.A.
• Stevan A Gonzalez, MD
• Good Apple Home Health Care Services,Inc
• Good Life Medical Transport LLC
• Good Nutured Home Health Care
• Good Samaritan Society HCBS-TX, LLC
• Good Samaritan Society HCBS-TX, LLC
• Good Seeds Nutrition LLC

• Urgent Care Clinic/Center in Ft Worth, TX
• Providers in Ft 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 Apr 27, 2020; 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.