Roanoke's approximately 12,000 residents are served by a community known for Historic Roanoke's Oak Street restaurant row and Byron Nelson High School. What Roanoke doesn't have is a freestanding emergency room capable of treating cardiac emergencies around the clock. The nearest hospital ER can mean extended waits; Roanoke-area urgent care clinics are not equipped for chest pain at all.
That's why so many Roanoke families rely on ER Of Fort Worth at 4561 Heritage Trace Parkway — just 10 miles from Roanoke via I-35W. We are open 24 hours a day, 7 days a week, 365 days a year. When chest pain strikes in the middle of the night or during a weekend near Historic Roanoke's Oak Street restaurant row and Byron Nelson High School, our team is ready. A full chest pain protocol — including immediate EKG, high-sensitivity troponin labs, and CT angiography — begins within minutes of your arrival.
The emergency room Roanoke trusts.
Distance and trust go hand-in-hand for Roanoke families. Here is why residents near Historic Roanoke's Oak Street restaurant row and Byron Nelson High School choose ER Of Fort Worth for cardiac emergencies.
15-minute drive from Roanoke
Take I-35W south toward Fort Worth and exit directly at Heritage Trace Parkway.
No long hospital waits
Freestanding ERs serve far fewer patients per shift than hospital ERs. Roanoke residents consistently report walk-in, same-room care within minutes — not hours.
Cardiac diagnostics on-site
12-lead EKG, troponin blood panel, chest X-ray, CT angiography — every tool needed to diagnose or rule out a heart attack is right here. No transfers.
Board-certified physicians only
Every patient from Roanoke who comes through our doors is evaluated by a board-certified emergency medicine physician. Never a mid-level only. 24 hours a day.
Chest pain symptoms that need ER care.
Recognize these warning signs. In Roanoke or anywhere else, these symptoms mean call 817-945-4200 or come in immediately — do not wait for symptoms to pass.
Don't wait. Leave for our ER if—
- — Chest pain or pressure lasting longer than 5 minutes
- — Chest discomfort with sweating, nausea or difficulty breathing
- — Pain spreading to the arm, jaw, neck or back
- — Sudden fainting, near-fainting or severe dizziness
- — New chest pain in anyone with known heart disease, diabetes or hypertension
Not sure? Call us from Roanoke.
Our team can help you assess the right level of care.
What happens when you arrive.
Roanoke patients presenting with chest pain are taken to a treatment room immediately. Here is the rapid-response cardiac protocol our physicians initiate upon arrival.
12-lead EKG within minutes
An electrocardiogram is performed immediately to detect ST-elevation, arrhythmias or other cardiac patterns indicating heart attack risk.
High-sensitivity troponin labs
Blood drawn immediately for cardiac enzyme levels — troponin results indicate whether heart muscle damage has occurred, with same-visit results.
CT angiography & chest X-ray
Advanced imaging on-site to rule out pulmonary embolism, aortic dissection, pneumonia, and other non-cardiac causes of chest pain.
Cardiac medications & IV access
Aspirin, nitroglycerin, anticoagulants and pain management started immediately when clinically indicated based on your presentation.
Cardiology specialist on call
Direct line to cardiologists and rapid transfer coordination to a cath lab if an intervention like angioplasty or stenting is required.
Telemetry & continuous monitoring
Continuous vital sign and cardiac rhythm monitoring for patients requiring serial EKGs or extended observation before a safe discharge.
Getting to our ER from Roanoke, TX.
We are located at 4561 Heritage Trace Parkway, Suite 117, Fort Worth, TX 76244 — approximately 10 miles from Roanoke. The drive typically takes 15 minutes or less under normal traffic conditions. Routes that work well depending on where in Roanoke you are starting:
- 1 Primary route: Take I-35W south toward Fort Worth and exit directly at Heritage Trace Parkway. Total: ~10 miles, ~15 min.
- 2 Alternate route: From Hwy 114, head east to I-35W south, then exit at Heritage Trace Parkway — about 15 minutes door to door. Total: ~10 miles, ~15 min.
- ! Emergency tip: If symptoms are worsening rapidly, call 911 rather than driving. Emergency responders can begin EKG and treatment en route from Roanoke. If the symptoms are stable and you have a driver, call 817-945-4200 to alert our team before you leave.
Our parking lot offers immediate drop-off access adjacent to the front entrance. See our full Roanoke service area page for a map and additional details about our proximity to Roanoke-area neighborhoods.
The standard of care Roanoke deserves.
Average wait under 10 minutes
Chest pain moves to the front of the line — immediately. Our low-volume, high-efficiency model means no 3-hour waits in a hallway bed.
Physician-led care, always
A board-certified emergency medicine physician evaluates every patient. Our ER doctors are fellowship-trained, experienced, and on-site around the clock.
All diagnostics under one roof
CT, ultrasound, X-ray and full-panel labs — every test needed to diagnose a cardiac emergency is performed on-site, same visit. No off-site referrals.
All major insurance accepted
BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, Tricare and more. See full insurance list —
Insurance accepted.
Roanoke residents with chest pain should not delay care due to insurance questions. Federal law requires that true emergency care be covered regardless of network status at the time of service. We accept all major commercial insurance, Medicare, Tricare and many more. View our full accepted insurance list —
Our billing team is available to answer questions about your coverage before, during, or after your visit. Self-pay pricing is transparent and available on request.
Questions from Roanoke patients.
How far is ER Of Fort Worth from Roanoke TX?
We are approximately 10 miles from Roanoke — about 15 minutes under normal traffic. Take I-35W south toward Fort Worth and exit directly at Heritage Trace Parkway.
What is the fastest route from Roanoke to your emergency room?
Take I-35W south toward Fort Worth and exit directly at Heritage Trace Parkway. From Hwy 114, head east to I-35W south, then exit at Heritage Trace Parkway — about 15 minutes door to door. For turn-by-turn directions, enter "4561 Heritage Trace Pkwy, Fort Worth, TX 76244" into Google Maps or Apple Maps.
Should I go to urgent care or an ER for chest pain in Roanoke?
Always the ER. Urgent care clinics near Roanoke cannot perform a 12-lead EKG, draw and analyze troponin levels, run a CT angiogram, or reach a cardiologist on call. Chest pain has dozens of possible causes — including heart attack, pulmonary embolism, and aortic dissection — that only an ER can properly evaluate. The extra minutes on the road to our facility are worth it.
How quickly will I be seen after arriving from Roanoke?
Chest pain is triaged at the highest priority. You will be brought to a treatment room immediately, and a 12-lead EKG will be performed within minutes of arrival — typically under 5. Our average wait time across all conditions is under 10 minutes, and cardiac cases are never kept waiting.
Will my insurance cover an ER visit from Roanoke TX?
Yes. Federal law (EMTALA) requires all major insurance carriers to cover true emergency care — such as chest pain — regardless of whether our facility is "in network." We accept BCBS, Aetna, Cigna, UnitedHealthcare, Humana, Medicare, Tricare and most major commercial plans. See our full insurance details at /insurance/.
What should I do while someone drives me from Roanoke?
Call 817-945-4200 to alert our team you are en route with chest pain symptoms so we can prepare a room before you arrive. Sit upright or in whatever position is most comfortable. If you have a 325 mg aspirin and are not allergic, chew it (do not swallow whole). Do not drive yourself, and if symptoms suddenly worsen, have your driver pull over and call 911 immediately.
Can Roanoke residents use online check-in before leaving home?
Yes — and we encourage it for non-critical symptoms. Our online check-in at /online-check-in/ lets you submit your information before leaving Roanoke so our staff can begin intake preparation. For actively worsening chest pain, call or come straight in rather than pausing to fill out a form.
Do you treat all types of chest pain, not just heart attacks?
Yes. Chest pain has many causes — including heart attack, angina, pulmonary embolism, aortic dissection, pericarditis, pleurisy, pneumonia, musculoskeletal injury, and GERD-related esophageal pain. Our goal is rapid diagnosis: rule out the life-threatening causes, treat what we find, and send Roanoke patients home with a clear understanding of what caused their symptoms.
What's the best route from the Historic Roanoke's Oak Street restaurant row and Byron Nelson High School area in Roanoke to your ER?
Take I-35W south toward Fort Worth and exit directly at Heritage Trace Parkway. From Hwy 114, head east to I-35W south, then exit at Heritage Trace Parkway — about 15 minutes door to door. Both routes average 15 minutes under normal Tarrant County traffic.