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GOOD DOCTOR CLINIC AND URGENT CARE PLLC
NPI 1992210579
Clinic/Center - Urgent Care in Ft Worth, TX

Active since December 05, 2017
4759 SOUTH FWY STE A, FT WORTH, TX 76115(817) 923-7374 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Doctor Clinic And Urgent Care Pllc NPPES

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

GOOD DOCTOR CLINIC AND URGENT CARE PLLC (NPI 1992210579) is a healthcare organization registered as an urgent care in Ft Worth, Texas and active in the NPI registry since December 2017. The organization lists Sudath Rannulu, Md, as its authorized official.

NPPES Registry Identity

NPI1992210579
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameGOOD DOCTOR CLINIC AND URGENT CARE PLLC
Location Address4759 SOUTH FWY STE AFt Worth, TX 76115-3655
Mailing Address777 E Wheatland Rd Ste 108Duncanville, TX 75116-4918 · (972) 296-9930 · Fax (972) 709-1340
Phone(817) 923-7374
Organization SubpartNo
Authorized OfficialSudath RannuluMd · (972) 296-9930
Enumeration DateDecember 5, 2017
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1992210579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4759 SOUTH FWY STE A, Ft Worth, TX 76115
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Good Doctor Clinic And Urgent Care PLLC's NPI number?

The NPI number for Good Doctor Clinic And Urgent Care PLLC is 1992210579. It was assigned to this organization in the NPPES registry on December 5, 2017.

Where is Good Doctor Clinic And Urgent Care PLLC located?

Good Doctor Clinic And Urgent Care PLLC is located at 4759 South Fwy Ste A, Ft Worth, TX 76115. The listed phone number is (817) 923-7374.

What is Good Doctor Clinic And Urgent Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Good Doctor Clinic And Urgent Care PLLC was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.