Provider Demographics
NPI:1700834520
Name:TARRANT ACUTE CARE PHYSICIANS P.A.
Entity Type:Organization
Organization Name:TARRANT ACUTE CARE PHYSICIANS P.A.
Other - Org Name:TRINITYXPRESSMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:SAMADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-423-1477
Mailing Address - Street 1:5900 OVERTON RIDGE BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3685
Mailing Address - Country:US
Mailing Address - Phone:817-423-1477
Mailing Address - Fax:817-423-1481
Practice Address - Street 1:5900 OVERTON RIDGE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3685
Practice Address - Country:US
Practice Address - Phone:817-423-1477
Practice Address - Fax:817-423-1481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1447111NI0900X, 207PE0004X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5671290001OtherDME
TX5671290001OtherDME
TXE15434Medicare UPIN
TX5671290001Medicare NSC