Active NPI
Texas Medical and Neuropathy Centers
- Clinic/Center
- Fort Worth, TX
National Provider Identifier
1053036764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- TEXAS MEDICAL AND NEUROPATHY CENTERS
- Practice address
- 2121 N Main St Ste B
Fort Worth, TX 76164-8593 - Phone
- (871) 624-7222
- NPI assigned
- Oct 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Marchese
- Title
- Credentialing Manager
- Phone
- (214) 205-4995
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2121 N Main St Ste B
Fort Worth, TX 76164-8593
Mailing address
2121 N Main St Ste B
Fort Worth, TX 76164-8593
Phone (871) 624-7222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eclinicalworks | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2121 N Main St
Ste B
Fort Worth, TX 76164
Phone (871) 624-7222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1053036764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 N MAIN ST STE B",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761648593",
"telephone_number": "871-624-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 N MAIN ST STE B",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761648593",
"telephone_number": "871-624-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS MEDICAL AND NEUROPATHY CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "MARCHESE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "214-205-4995"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Internist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "eclinicalworks",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2121 N Main St Ste B",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761648593",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.