NPIMap

Organization Active NPI

Aggie Family Doctor, PA

  • Primary Care Clinic/Center
  • North Richland Hills, TX
National Provider Identifier
1124320973
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M2820 Issued in TX
Legal business name
AGGIE FAMILY DOCTOR, PA
Practice address
4375 Booth Calloway Rd Ste 208
North Richland Hills, TX 76180-8362
Phone
(817) 846-8328
Fax
(817) 251-3214
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Karen V Smith, M.D.
Title
General Partner
Phone
(817) 846-8328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M2820 TX Primary

Addresses

Primary practice location

4375 Booth Calloway Rd Ste 208
North Richland Hills, TX 76180-8362

Mailing address

4375 Booth Calloway Rd Ste 208
North Richland Hills, TX 76180-8362
Phone (817) 846-8328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1124320973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 208",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808362",
            "telephone_number": "817-846-8328",
            "fax_number": "817-251-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 208",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808362",
            "telephone_number": "817-846-8328",
            "fax_number": "817-251-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGIE FAMILY DOCTOR, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "817-846-8328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M2820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.