Organization Active NPI

MLD Healthcare, LLC

  • Urology Physician
  • Fort Worth, TX
National Provider Identifier
1225745854
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MLD HEALTHCARE, LLC
Practice address
6001 Rich St
Fort Worth, TX 76112-6500
Phone
(682) 353-8171
Fax
(682) 353-8176
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Marva Durgin, NP
Title
Owner
Phone
(817) 296-0782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6001 Rich St
Fort Worth, TX 76112-6500

Mailing address

6001 Rich St
Fort Worth, TX 76112-6500
Phone (682) 353-8171

Other names 1

  • MD Your-ology Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ATHENA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

6001 Rich St
Fort Worth, TX 76112
Phone (682) 353-8171

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1225745854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 RICH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126500",
            "telephone_number": "682-353-8171",
            "fax_number": "682-353-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 RICH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126500",
            "telephone_number": "682-353-8171",
            "fax_number": "682-353-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLD HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "DURGIN",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-296-0782",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ATHENA",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2833 Meade Dr Apt Suite",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750528344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MD Your-ology Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Your-ology Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 27, 2025; 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.