Texas Physicians Specialized Medicine PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TEXAS PHYSICIANS SPECIALIZED MEDICINE PLLC

Practice address

1301 N Beach St
Fort Worth, TX 76111-6613

Phone

(817) 831-3388

Fax

(817) 831-1541

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anis R NooraniNPI 1144248790

Title

Owner

Phone

(817) 831-3388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Texas Physicians Specialized Medicine PLLC

  • General Practice Physician
  • Irving, TX
  • NPI 1619373453

  3779807250

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Texas Physicians Specialized Medicine PLLC

  • General Practice Physician
  • Irving, TX
  • NPI 1619373453

  O20150112001523

  Same enrollment

Locations

Practitioners 3

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.

• Anis R Noorani, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1144248790
  Authorized official Same address or phone
• Jason Albert Kouri, M.D.

  • Adult Medicine Physician
  • Fort Worth, TX
  • NPI 1649276965
  NPD
• Sandia Venord

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
  • NPI 1124783642
  NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1205583242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116613",
            "telephone_number": "817-831-3388",
            "fax_number": "817-831-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116613",
            "telephone_number": "817-831-3388",
            "fax_number": "817-831-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSICIANS SPECIALIZED MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "NOORANI",
        "authorized_official_first_name": "ANIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-831-3388"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Orthopedic Specialists, PLLC
• Texas Orthotic & Prosthetic Systems Inc
• Texas Orthotic and Prosthetic Systems, Inc.
• Texas Pediatrics PLLC
• Texas Physician Resources, LLP
• Texas Plastic Surgery Associates, PA
• Texas Plastic Surgery Associates, PA
• Texas Prosmiles PLLC
• Texas Pulmonary & Critical Care Consultants, PA
• Texas Rehab Physicians Group PLLC

• Physical Medicine & Rehabilitation Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.