Low Testosterone Men's Clinic FW, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LOW TESTOSTERONE MEN'S CLINIC FW, LLC

Practice address

6115 Camp Bowie Blvd Ste 140
Fort Worth, TX 76116-5500

Phone

(817) 416-5698

NPI assigned

Jul 9, 2015

Last updated

Jun 16, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ivonne Herlinda Braxton, MS,FNP-BCNPI 1720374515

Title

Managing Member

Phone

(817) 416-5698

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivonne Braxton, FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1720374515
  Medicare reassignment Care Compare group NPD Authorized official
• Donna Gayle O'Toole, FNP-C

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1295867034
  Medicare reassignment Care Compare group NPD
• Abigail Grace John, APRN, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1821740796
  Medicare reassignment NPD
• David Pascoe, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1902292436
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1063895985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500",
            "telephone_number": "817-416-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6213 Colleyville Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760346436",
            "country_code": "US",
            "telephone_number": "817-416-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOW TESTOSTERONE MEN'S CLINIC FW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_middle_name": "HERLINDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-416-5698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aria Loveless-Green
• Robert J Lovett, MD
• Zaakira Lovett
• Loving Aides Who Care Services, LLC
• Neil F Lovitt, MD
• Darren Low
• Andrea Nicole Lowe, MSW, LCSW
• Christopher Lowe
• Dorothy Anne Lowe, D.C.
• Eddie Lowe, MD

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.