WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC (NPI# 1750777322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750777322 |
| Entity Type | Organization |
| Organization Name | WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC |
| Practice Address |
1709 Ashland Ave Ft Worth TX 76107-3851 |
| Practice Telephone | 8039794903 |
| Mailing Telephone | 8039794903 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | DR. SHANE COLE (PRESIDENT) |
| Authorized Official Telephone | 8039794903 |
| Authorized Official Credential | MD |
| 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 |
1709 ASHLAND AVE |
| City | FT WORTH |
| State | TX |
| Zip Code | 76107-3851 |
| 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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|---|---|---|---|---|
| 1205494101 | Hulen Er LLC | Clinic/Center | 5900 S Hulen St, Ft Worth, TX 76132-4820 | 2019-06-05 |
| 1710237599 | Erca Camp Bowie LLC | Clinic/Center | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 | 2012-09-19 |
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| 1568079564 | Montrose Er LLC | Clinic/Center | 1110 W Gray St Ste 201, Houston, TX 77019-4133 | 2020-09-24 |
| 1609481712 | Montrose Er LLC | Clinic/Center | 1110 W Gray St, Houston, TX 77019-4133 | 2020-09-15 |
| 1932713666 | Tecc Atascocita LLC | Clinic/Center | 19143 W Lake Houston Pkwy, Humble, TX 77346-4800 | 2020-09-01 |
| 1265046908 | Tecc Pearland LLC | Clinic/Center | 3115 Dixie Farm Rd Ste 107, Pearland, TX 77581-5923 | 2020-09-01 |
| 1366056194 | Er of Texas Little Elm LLC | Clinic/Center | 2800 Little Elm Pkwy, Little Elm, TX 75068-6650 | 2020-08-31 |
| 1740892801 | Satx Emergency Physicians Pllc | Clinic/Center | 8721 Menchaca Rd, Austin, TX 78748-5308 | 2020-08-20 |
| 1568098119 | Complete Temple Fser Facility LLC | Clinic/Center | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-03-16 |
| 1770118879 | Exceptional Healthcare Tyler LLC | Clinic/Center | 2222 E Southeast Loop 323, Tyler, TX 75701-8320 | 2020-03-09 |
| 1841838901 | Cross Care of North Texas LLC | Clinic/Center | 2401 Willow Oak Dr, Irving, TX 75060-6965 | 2019-12-19 |
| 1255978722 | Medco Er Carrollton, LLC | Clinic/Center | 2745 E Belt Line Rd, Carrollton, TX 75006-5436 | 2019-12-04 |
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| 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.