Organization Active NPI

Muhammad Anis Memon M.D. P a

  • Gastroenterology Physician
  • Burleson, TX
National Provider Identifier
1093012668
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M1931 Issued in TX
Legal business name
MUHAMMAD ANIS MEMON M.D. P A
Practice address
701 E Rendon Crowley Rd
Burleson, TX 76028-7536
Phone
(817) 293-9292
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Muhammad Anis Memon
Title
Owner
Phone
(817) 854-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X M1931 TX Primary

Addresses

Primary practice location

701 E Rendon Crowley Rd
Burleson, TX 76028-7536

Mailing address

6715 Trail Cliff Way
Fort Worth, TX 76132-3064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1093012668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 TRAIL CLIFF WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E RENDON CROWLEY RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287536",
            "telephone_number": "817-293-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD ANIS MEMON M.D. P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ANIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-854-0341",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.