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1699969865 NPI number — TARRANT COUNTY MEDICAL INSTITUTE, P.A.

NPI Number: 1699969865
Health Care Provider/Practitioner: TARRANT COUNTY MEDICAL INSTITUTE, P.A.

Information about “1699969865” NPI (TARRANT COUNTY MEDICAL INSTITUTE, P.A.) exists in 1699969865 in HTML format HTML  |  1699969865 in plain Text format TXT  |  1699969865 in PDF (Portable Document Format) PDF  |  1699969865 in an XML format XML  formats.

NPI Number : 1699969865 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699969865",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TARRANT COUNTY MEDICAL INSTITUTE, P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6789 CAMP BOWIE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76116-7112",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-731-2102",
    "MailingAddressFaxNumber": "817-984-1857",
    "FirstLinePracticeLocationAddress": "6789 CAMP BOWIE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76116-7112",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-731-2102",
    "PracticeLocationAddressFaxNumber": "817-984-1857",
    "EnumerationDate": "08/30/2007",
    "LastUpdateDate": "05/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLETCHER",
    "AuthorizedOfficialFirstName": "SANDRA",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "BUSINESS MGR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "214-616-4892",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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