Azurite Medical

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

AZURITE MEDICAL

Practice address

3569 Portland St
Suite 1033
Irving, TX 75062-2952

Phone

(469) 269-2424

Fax

(972) 638-8612

NPI assigned

Sep 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Steven E Irving, RMA. NCT

Title

Owner

Phone

(469) 269-2424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346630400000",
    "number": "1295084572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 PORTLAND ST",
            "address_2": "SUITE 1033",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622952",
            "telephone_number": "469-269-2424",
            "fax_number": "972-638-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 PORTLAND ST",
            "address_2": "SUITE 1033",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622952",
            "telephone_number": "469-269-2424",
            "fax_number": "972-638-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURITE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-269-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RMA. NCT"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corporate Health Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Corporate Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.