Active NPI
Femclinic PLLC
- Primary Care Clinic/Center
- Colleyville, TX
National Provider Identifier
1104099308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- L4208
- Legal business name
- FEMCLINIC PLLC
- Practice address
- 7155 Colleyville Blvd
Suite 101
Colleyville, TX 76034-8003 - Phone
- (817) 488-7878
- Fax
- (817) 488-7877
- NPI assigned
- Apr 8, 2008
- 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
- Dr. Lida Aghdam, MD
- Title
- Owner
- Phone
- (817) 488-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | L4208 | TX | Primary |
Addresses
Primary practice location
7155 Colleyville Blvd
Suite 101
Colleyville, TX 76034-8003
Mailing address
7155 Colleyville Blvd
Suite 101
Colleyville, TX 76034-8003
Phone (817) 488-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015RQ | Other | TX | BCBS OF TEXAS |
Other names 1
- NATURAL BALANCE CLINIC
National Provider Directory
National Provider DirectoryLocations
7155 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 421-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330473600000",
"number": "1104099308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 COLLEYVILLE BLVD",
"address_2": "SUITE 101",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760348003",
"telephone_number": "817-488-7878",
"fax_number": "817-488-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 COLLEYVILLE BLVD",
"address_2": "SUITE 101",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760348003",
"telephone_number": "817-488-7878",
"fax_number": "817-488-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEMCLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2012-02-29",
"status": "A",
"authorized_official_last_name": "AGHDAM",
"authorized_official_first_name": "LIDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-488-7878",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "L4208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "0015RQ",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NATURAL BALANCE CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.