Active NPI
Plaza Medical Specialists, PLLC
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1326379173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PLAZA MEDICAL SPECIALISTS, PLLC
- Practice address
- 301 Clifford Center Dr
Suite 115
Fort Worth, TX 76108-4443 - Phone
- (817) 737-6552
- Fax
- (817) 732-6597
- NPI assigned
- Jan 19, 2010
- 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
- Todd Evans
- Title
- Vice President
- Phone
- (713) 852-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
301 Clifford Center Dr
Suite 115
Fort Worth, TX 76108-4443
Mailing address
301 Clifford Center Dr
Suite 115
Fort Worth, TX 76108-4443
Phone (817) 737-6552
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Fort Worth, TX
- NPI 1619913795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1326379173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CLIFFORD CENTER DR",
"address_2": "SUITE 115",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761084443",
"telephone_number": "817-737-6552",
"fax_number": "817-732-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CLIFFORD CENTER DR",
"address_2": "SUITE 115",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761084443",
"telephone_number": "817-737-6552",
"fax_number": "817-732-6597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAZA MEDICAL SPECIALISTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "713-852-1550"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.