Active NPI
MLD Healthcare, LLC
- Urology Physician
- Fort Worth, TX
National Provider Identifier
1225745854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ATHENA | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.