LUMIN ER CAMP BOWIE LLC (NPI# 1730541475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730541475 |
| Entity Type | Organization |
| Organization Name | LUMIN ER CAMP BOWIE LLC |
| Practice Address |
4520 Camp Bowie Blvd Fort Worth TX 76107-3837 |
| Practice Telephone | 9139724976 |
| Mailing Telephone | 9139724976 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | JEFF VANHORN (CEO) |
| Authorized Official Telephone | 9139724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
4520 CAMP BOWIE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-3837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647157 | Felicia Davies Bessman | Nurse Practitioner | 4520 Camp Bowie Blvd, Fort Worth, TX 76107-3837 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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|---|---|---|---|---|
| 1033636865 | Ehc Institutional LLC | Clinic/Center | 1251 Eastchase Pkwy, Fort Worth, TX 76120 | 2017-08-23 |
| 1396280756 | Chisholm Trail Emergency Center | Clinic/Center | 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 | 2016-12-21 |
| 1457750853 | Haslet Medical Center LLC | Clinic/Center | 13172 Nw Hwy 287, Fort Worth, TX 76052 | 2014-08-21 |
| 1801202908 | Complete Emergency Care Oakmont LLC | Clinic/Center | 7445 Oakmont Blvd, Fort Worth, TX 76132-3905 | 2014-07-09 |
| 1598014995 | Basswood Medical Center LLC | Clinic/Center | 5401 Basswood Blvd, Fort Worth, TX 76137-6909 | 2012-08-31 |
| 1881849099 | Western Center Medical Center | Clinic/Center | 2710 Western Center Blvd, Fort Worth, TX 76131-4301 | 2008-12-02 |
| 1285252593 | Emer North Fort Worth Beach, LLC | Clinic/Center | 4551 Western Center Blvd, Fort Worth, TX 76137-2628 | 2020-07-13 |
| 1992273544 | Emcc Chisholm Trail, LLC | Clinic/Center | 7445 Oakmont Blvd, Fort Worth, TX 76132-3905 | 2018-11-12 |
| 1538529912 | The Emergency Center At West 7th | Clinic/Center | 1101 University Dr, Fort Worth, TX 76107-3134 | 2016-02-29 |
| 1053771477 | Tec Emergency Physicians, Pllc | Clinic/Center | 1101 University Dr, Fort Worth, TX 76107-3134 | 2016-02-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on LUMIN ER CAMP BOWIE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.