Organization · Type 2 NPI

C3edf1, LLC

Emergency Care Clinic/Center · Dfw Airport, TX

NPI number 1285162610 Active

Practice location

2390 Innovation Dr., Suite 100
Dfw Airport, TX 75261-9428

Call (214) 997-1940 Map

Fax (214) 997-1941

Mailing address

5300 Town And Country Blvd Ste 260
Frisco, TX 75034-6913

Specialties and licenses

Taxonomy	Code	License
Emergency Care Clinic/Center Primary	261QE0002X	160362 (TX)

Emergency Care Clinic/Center: Definition to come...

NPI record

NPI: 1285162610
Entity type: Organization (Type 2)
Issued: May 30, 2017
Last updated: Jul 9, 2018
Status: Active

Other names

<unavail>
Code 3 Er at DFW Airport · doing business as
Code 3 Er at DFW Airport · doing business as

Authorized official

Dr. Carrie E De Moor, MD
CEO
(469) 320-9820

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285162610

C3edf1, LLC's National Provider Identifier is 1285162610, issued on May 30, 2017. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Dfw Airport, TX. The record was last updated on Jul 9, 2018.