Healthcare Provider Details

I. General information

NPI: 1992612808
Provider Name (Legal Business Name): VAN ALSTYNE EMERGENCY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1973 S. HENRY HYNDS EXPY.
VAN ALSTYNE TX
75495
US

IV. Provider business mailing address

1973 S. HENRY HYNDS EXPY
VAN ALSTYNE TX
75495
US

V. Phone/Fax

Practice location:
  • Phone: 682-707-9707
  • Fax: 682-707-9707
Mailing address:
  • Phone: 682-707-9707
  • Fax: 682-707-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANE COLE
Title or Position: CEO
Credential: MD
Phone: 682-707-9707