MEDICARE: OAKRIDGE PLAINS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1275462079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKRIDGE PLAINS LLC

Provider Business Mailing Address
First Line	:	6049 S HULEN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4815
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 W UNIVERSITY DR STE 100
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-1636
Country	:	US
Telephone Number	:	940-334-8195
Fax Number	:

Authorized Official
Title or Position	:	SR MANAGER OF RESEARCH & INNOVATION
Name	:	JORDAN TYLER
Credential	:
Telephone Number	:	817-566-1232

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “OAKRIDGE PLAINS LLC ” Practice Location

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