WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC – Emergency Care Clinic/Center, NPI 1750777322
Emergency Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WOODBRIDGE PHYSICIANS STAFFING GROUP, PLLC
5500 Sycamore School Rd Ste 100
Fort Worth, TX 761233053
Phone: (682) 707-9707
Fax: (682) 707-9708
Type: Location
1327 Fm 741
Forney, TX 751264328
Phone: (214) 778-1466
Fax: (682) 200-4228
Type: Location
1709 ASHLAND AVE
FT WORTH, TX 761073851
Phone: (803) 979-4903
Type: Mailing
714 SUSSEX CT
SOUTHLAKE, TX 760928869
Phone: (469) 501-5346
Fax: (888) 508-9199
Type: Mailing
2955 ELDORADO PKWY STE 150
FRISCO, TX 750337201
Phone: (214) 407-8668
Fax: (214) 407-8665
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (800 days ago).
Enrollment records
1
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20171214002834 | O | Clinic/Group Practice | TX | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76123)
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