MEDICARE: EL DORADO URGENT CARE, PLLC

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	261QU0200X	Urgent Care Clinic/Center		TX

General Provider Information

NPI Number	:	1154799328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL DORADO URGENT CARE, PLLC

Provider Business Mailing Address
First Line	:	2955 EL DORADO PARKWAY
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2955 EL DORADO PARKWAY
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033
Country	:	US
Telephone Number	:	803-979-4903
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. SHANE COLE
Credential	:
Telephone Number	:	803-979-4903

Provider Enumeration Date	:	09/04/2015
Last Update Date	:	09/29/2025

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