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CLINIC 21 OF TARRANT COUNTY, PLLC
NPI 1871986109
Emergency Medicine in Southlake, TX

Active since March 11, 2015
431 E. STATE HIGHWAY 114 SUITE 120, SOUTHLAKE, TX 76092(817) 251-3981(817) 251-3245 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinic 21 Of Tarrant County, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC 21 OF TARRANT COUNTY, PLLC (NPI 1871986109) is a healthcare organization registered as an emergency medicine in Southlake, Texas and active in the NPI registry since March 2015. The organization lists David C Packo, President, as its authorized official.

NPPES Registry Identity

NPI1871986109
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCLINIC 21 OF TARRANT COUNTY, PLLC
Location Address431 E. STATE HIGHWAY 114 SUITE 120Southlake, TX 76092-4407
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (330) 493-4443 · Fax (330) 451-4142
Phone(817) 251-3981
Fax(817) 251-3245
Organization SubpartNo
Authorized OfficialDavid C PackoPresident · (330) 493-4443
Enumeration DateMarch 11, 2015
Last NPPES UpdateNovember 16, 2015
✔ NPI 1871986109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
431 E. STATE HIGHWAY 114 SUITE 120, Southlake, TX 76092
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Other Identifiers 1

Medicare NSC7399370001TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinic 21 Of Tarrant County, PLLC's NPI number?

The NPI number for Clinic 21 Of Tarrant County, PLLC is 1871986109. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Clinic 21 Of Tarrant County, PLLC located?

Clinic 21 Of Tarrant County, PLLC is located at 431 E. State Highway 114 Suite 120, Southlake, TX 76092. The listed phone number is (817) 251-3981.

What is Clinic 21 Of Tarrant County, PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Clinic 21 Of Tarrant County, PLLC was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.