Clinic 21 of Tarrant County, PLLC
Clinic 21 of Tarrant County, PLLC provides Emergency Medicine Physician services in Southlake, Texas. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
431 E State Highway 114 Ste 120Southlake, TX 76092-4407 Not confirmed with CMS for 10 years — call before visiting
Phone: (817) 251-3981
Fax: (817) 251-3245
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X |
|---|
Record details
| NPI number | 1871986109 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Packo — President · (330) 493-4443 |
| NPI enumerated | March 11, 2015 |
| Last updated in NPPES | November 16, 2015 |
| Mailing address | 4535 Dressler Rd Nw, Canton, OH 44718-2545 |
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