Organization Active NPI

Olicolas Monitoring P.a.

  • Otology & Neurotology Physician
  • Fort Worth, TX
National Provider Identifier
1194154724
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
M9939 Issued in TX
Legal business name
OLICOLAS MONITORING P.A.
Practice address
500 Throckmorton 3012
Fort Worth, TX 76102
Phone
(817) 908-8124
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Dr. Ricardo Cristobal, M.D.
Title
President
Phone
(832) 472-5906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X M9939 TX
Otology & Neurotology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0901X M9939 TX Primary

Addresses

Primary practice location

500 Throckmorton 3012
Fort Worth, TX 76102

Mailing address

923 Pennsylvania Avenue
Suite 200
Fort Worth, TX 76104
Phone (817) 908-8124

National Provider Directory

National Provider Directory

Locations

923 Pennsylvania Ave
Ste 200
Fort Worth, TX 76104
Phone (713) 408-7082

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1194154724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 PENNSYLVANIA AVENUE",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-908-8124",
            "fax_number": "817-885-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON 3012",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "817-908-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLICOLAS MONITORING P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "CRISTOBAL",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-472-5906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M9939",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": "M9939",
            "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 Nov 4, 2013; 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.