Organization Active NPI

Femclinic PLLC

  • Primary Care Clinic/Center
  • Colleyville, TX
National Provider Identifier
1104099308
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L4208 Issued in TX
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

Updated by the provider on Feb 29, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0015RQOtherTXBCBS OF TEXAS

Other names 1

  • NATURAL BALANCE CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.