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

Dr. Justin Cormack I, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659791259

Dr. Justin Cormack I, MD is an Emergency Medicine in Fort Worth, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2014, 12 years ago. Practices with Concord Medical Group of Texas PLLC, a 317-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Main St Emergency
Fort Worth, TX 76104-4917
Phone: (817) 702-8773
Fax: (817) 702-1143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence Q9797 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659791259
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2014
Last updated in NPPESJanuary 19, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Concord Medical Group Of Texas Pllc — 317 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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