Active NPI
Olicolas Monitoring P.a.
- Otology & Neurotology Physician
- Fort Worth, TX
National Provider Identifier
1194154724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- M9939
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M9939 | TX | |
| Otology & Neurotology Physician | 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 DirectoryLocations
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.