Organization
FASTPASS UCR, PLLC
Active
Other names
Code 3 Urgent Care at Rockport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE E DE MOOR MD (CEO)
(469) 320-9820
Entity
Organization
Contact information
Practice address
400 ENTERPRISE BLVD STE A120, ROCKPORT, TX 78382-4341
(361) 529-9401
(361) 529-9402
Mailing address
5300 TOWN AND COUNTRY BLVD STE 260, FRISCO, TX 75034-6913
(469) 208-5297
(214) 260-0707
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U9Z8
BCBSTX
TX
05
—
378405001
—
TX
01
—
378405002
CSHCN
TX
Enumeration date
04/21/2017
Last updated
07/10/2018
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