Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emcc Azle Family Practice LLC

Organization Family Medicine Physician · NPI 1104382340

Emcc Azle Family Practice LLC is a Family Medicine Physician in Azle, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 NW Pkwy Ste C
Azle, TX 76020-2930
Phone: (817) 270-0788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104382340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Newsom — Vp Of Operations · (817) 271-2583
NPI enumeratedFebruary 12, 2019
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing address2300 Matlock Rd Ste 35, Mansfield, TX 76063-5018

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