Tcmerf

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0000007 Issued in TX

Legal business name

TCMERF

Practice address

900 Southland Ave
Fort Worth, TX 76104-3911

Phone

(817) 336-5454

Fax

(817) 336-4026

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lee M. Robinson, MAMFC MACE

Title

President/Ceo

Phone

(817) 336-5454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1225311681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SOUTHLAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043911",
            "telephone_number": "817-336-5454",
            "fax_number": "817-336-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTHLAND AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043911",
            "telephone_number": "817-336-5454",
            "fax_number": "817-336-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCMERF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "817-336-5454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAMFC MACE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "0000007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.