Frontier Medical House Call Service LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AP131147 Issued in TX

Legal business name

FRONTIER MEDICAL HOUSE CALL SERVICE LLC

Practice address

308 Autumn Park
Fort Worth, TX 76140

Phone

(682) 552-3574

Fax

(800) 460-1764

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Olasimbo Odutayo, NP

Title

Owner

Phone

(817) 729-4296

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1326539552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 AUTUMN PARK",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761406524",
            "telephone_number": "800-460-1764",
            "fax_number": "800-467-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 AUTUMN PARK",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76140",
            "telephone_number": "682-552-3574",
            "fax_number": "800-460-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MEDICAL HOUSE CALL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "ODUTAYO",
        "authorized_official_first_name": "OLASIMBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-729-4296",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "AP131147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frisco Iom PA
• Paul Kevin Froberg, MD
• Arlene Frobish, OTR,CHT
• Donya Kuehl Fronk, M.ED.-SLP
• Frontier Anesthesia Management LLC
• Yolanda Marie Frontino
• Frood Eelani, D.O PA
• Frood Eelani, D.O.
• Fruit Street Health, PBC
• Kathryn Fruit, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.