Beaty Business Spendthrift Trust

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BEATY BUSINESS SPENDTHRIFT TRUST

Practice address

1605 Clover LN
Fort Worth, TX 76107-3902

Phone

(817) 737-6464

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Beaty

Title

Manager

Phone

(817) 737-6464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1295157030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CLOVER LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073902",
            "telephone_number": "817-737-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CLOVER LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073902",
            "telephone_number": "817-737-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATY BUSINESS SPENDTHRIFT TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-737-6464"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beasley Medical Clinic
• Bruce Damon Beasley, PA-C
• Clifton H Beasley Jr., MD
• George Beasley, D.O.
• Jamarcus Beasley
• Andrew Dodson Beaty, M.D.
• Kathrine Kimberly Beaty, FNP
• Siobhan D Beaty, LCSW
• Beauford Basped Jr DO PLLC (Beauford Basped Family Medicine)
• Beautiful Beginnings

• Health Service Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.