Clinic 21 of Ft. Worth, LLC
NPI 1700257763 · Emergency Medicine Physician · Fort Worth, TX
Clinic 21 of Ft. Worth, LLC is a Emergency Medicine Physician organization in Fort Worth, TX (NPI 1700257763).
Provider details
- NPI number
- 1700257763
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Packo, President(330) 493-4443
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-15
- Last updated
- 2016-01-13
Frequently asked questions
- What is Clinic 21 of Ft. Worth, LLC's NPI number?
- Clinic 21 of Ft. Worth, LLC's National Provider Identifier (NPI) is 1700257763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinic 21 of Ft. Worth, LLC?
- Clinic 21 of Ft. Worth, LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clinic 21 of Ft. Worth, LLC located?
- Clinic 21 of Ft. Worth, LLC's practice location on file with NPPES is 5450 Clearfork Main Street, Fort Worth, TX 76109-3559.
- What is Clinic 21 of Ft. Worth, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinic 21 of Ft. Worth, LLC is (817) 732-9372.
- Who is the authorized official for Clinic 21 of Ft. Worth, LLC?
- The authorized official listed on Clinic 21 of Ft. Worth, LLC's NPPES record is David Packo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinic 21 of Ft. Worth, LLC's NPI active?
- Yes — Clinic 21 of Ft. Worth, LLC's NPI (1700257763) is active in the NPPES registry as of the last update on 2016-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.