Clinic 21 of Ft. Worth, LLC
NPI 1700257763ActiveOrganization· Emergency Medicine· Fort Worth, TX
Emergency Medicine in Fort Worth, Texas, registered in NPPES in October 2015. The authorized official on file is David C. Packo, MD, President.
Overview
| NPI | 1700257763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2015 |
| Last updated in NPPES | Jan 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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