West Texas Internal Medicine Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

J2590 Issued in TX

Legal business name

WEST TEXAS INTERNAL MEDICINE CLINIC

Doing business as

Jim J. Guerra M.D.

Practice address

7100 Oakmont Blvd
Suite 105
Fort Worth, TX 76132-3900

Phone

(817) 292-2700

Fax

(817) 292-9806

NPI assigned

Oct 29, 2006

Last updated

Apr 3, 2008By 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

Jim J Guerra, MD

Title

Owner

Phone

(817) 292-2700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jim J. Guerra M.D. Doing business as

Locations

Practitioners 2

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.

• Carlos Espina Ezpeleta, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1265432793
  NPD (past)
• Brian Shawn Levy, M.D.

  • Hospitalist Physician
  • Renton, WA
  • NPI 1043272925
  NPD (past)

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1215013511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "SUITE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-292-2700",
            "fax_number": "817-292-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "SUITE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-292-2700",
            "fax_number": "817-292-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS INTERNAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-292-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0040JK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "2543029",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NUMBER",
            "identifier": "9399591007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jim J. Guerra M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Britton R West, MD
• Bryan Joseph West, LMSW

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.