NPI age
4 years
Enumerated 2021-08-18
● Active Type 2 · Organization
Southeast Fort Worth Two Medical Group, Pllc
Southeast Fort Worth Two Medical Group, Pllc is 1 of 1466 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Manager
Last NPPES update
2022-05-27
Source: monthly bulk 2026-05
How this organization compares
Across 1466 active clinic/center providers in Texas.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
16131 N Eldridge Pkwy Ste 100
Tomball, TX 773779130
Mailing address
16131 N Eldridge Pkwy Ste 100
Tomball, TX 773779130
Authorized official
Welton Wayne Wilson
Manager
📞 2814298525
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Cornelia Abanobi, NP Nurse Practitioner NPI 1831889005
- Morgan Ethridge Nurse Practitioner NPI 1619695012
- Ashley Frasier, FNP Nurse Practitioner NPI 1760133144
- Queen Ohuabunwa, FNP-C Nurse Practitioner NPI 1497495147
- Elena Rodrigue, DNP, APRN, FNP-C Nurse Practitioner NPI 1003558263
- Courtney Sims, FNP Nurse Practitioner NPI 1831847573
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.