Active NPI
Mila Family Health
- Primary Care Clinic/Center
- Fort Worth, TX
National Provider Identifier
1093497026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MILA FAMILY HEALTH
- Practice address
- 2728 Travis Ave
Fort Worth, TX 76110-3233 - Phone
- (414) 324-0401
- NPI assigned
- Aug 1, 2023
- Last updated
- Aug 1, 2023
- 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
- Anatoli Berezovsky, MD
- Title
- Owner
- Phone
- (817) 381-8259
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
2728 Travis Ave
Fort Worth, TX 76110-3233
Mailing address
2728 Travis Ave
Fort Worth, TX 76110-3233
Phone (817) 381-8259
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1467081414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690848000000",
"number": "1093497026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 TRAVIS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761103233",
"telephone_number": "817-381-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 TRAVIS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761103233",
"telephone_number": "414-324-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILA FAMILY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A",
"authorized_official_last_name": "BEREZOVSKY",
"authorized_official_first_name": "ANATOLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-381-8259",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.