Michael E Truman DO PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D8836 Issued in TX

Legal business name

MICHAEL E TRUMAN DO PA

Practice address

2401 Canton Dr
Fort Worth, TX 76112-5001

Phone

(817) 446-5500

Fax

(817) 446-5509

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Michael E Truman, D.O.

Title

Owner

Phone

(817) 446-5500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1275715518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CANTON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125001",
            "telephone_number": "817-446-5500",
            "fax_number": "817-446-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CANTON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125001",
            "telephone_number": "817-446-5500",
            "fax_number": "817-446-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E TRUMAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "TRUMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-446-5500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "D8836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0092RA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122334903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darryl Chuan-Jen Miao, MD
• Zheng Miao, NP
• Carly Miceli, LPC
• Michael a. Davis, PC
• Michael Darnell, MD PA
• Michael H Boothby, MD PA
• Michael L. Bailey, D.O., P.a.
• Michael N Thompson
• Michael Nazarian Heart & Vascular
• Michael Nazarian MD, Associates

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.