Organization Active NPI

Texas Medical and Neuropathy Centers

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1053036764
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Oct 5, 2022

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)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL eclinicalworks Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.