Organization Active NPI

Medical Clinic of North Texas PLLC

Doing business as USMD Physician Services

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1184854309
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL CLINIC OF NORTH TEXAS PLLC
Doing business as
USMD Physician Services
Practice address
5450 Clearfork Main Street
Suite 410
Fort Worth, TX 76019-3559
Phone
(817) 505-0233
Fax
(817) 332-3172
NPI assigned
Jul 22, 2009
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Richard C Johnston, MD
Title
Ceo/Cpo
Phone
(214) 493-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5450 Clearfork Main Street
Suite 410
Fort Worth, TX 76019-3559

Mailing address

2801 Gateway Drive
Suite 100
Irving, TX 75063-2694
Phone (972) 847-0792

Other names 1

  • USMD Physician Services Doing business as

National Provider Directory

National Provider Directory

Locations

5450 Clearfork Main St
Ste 410
Fort Worth, TX 76109
Phone (817) 505-0233

Practitioners & affiliated clinicians

Practitioners 5

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": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1184854309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GATEWAY DRIVE",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632694",
            "telephone_number": "972-847-0792",
            "fax_number": "817-419-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN STREET",
            "address_2": "SUITE 410",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "760193559",
            "telephone_number": "817-505-0233",
            "fax_number": "817-332-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/CPO",
        "authorized_official_telephone_number": "214-493-4015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USMD Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2018; 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.