Organization Active NPI

Mila Family Health

  • Primary Care Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1093497026
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Anatoli Berezovsky, MDNPI 1467081414
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.