Third Eye After Hours, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K9653 Issued in TX

Legal business name

THIRD EYE AFTER HOURS, PLLC

Practice address

3437 W 7TH St
Fort Worth, TX 76107-2718

Phone

(817) 688-1588

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mark Allen Sanders, DONPI 1770544389

Title

President and Ceo

Phone

(817) 688-1588

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Allen Sanders, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1770544389
  NPD Authorized official

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1336696087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072718",
            "telephone_number": "817-688-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072718",
            "telephone_number": "817-688-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD EYE AFTER HOURS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "817-688-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "K9653",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "K9653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler N Thibodaux, P.A
• Verne Anthony Thibodeaux Jr., PHARM.D
• Holly Lynne Thiebaud, RN
• Avery Thies
• Thin Ryno, PLLC
• Third Eye Wound Care, PLLC
• Kokila Thirumurthi, D.O.
• Ashley Thomann, LMSW
• Thomas J Readel DMD PLLC
• Thomas J Trese DO, PA

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.