DJF Enterprise, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G3347 Issued in TX

Legal business name

DJF ENTERPRISE, PLLC

Practice address

688 Alliance Pkwy
Suite 201
Hewitt, TX 76643-3585

Phone

(254) 300-4399

Fax

(254) 300-4401

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David John Fedro, D.O.

Title

Medical Director

Phone

(254) 300-4399

Specialties & licenses 1

Addresses

Other names 1

• Brazos Homecare Medical Services / Brazos Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1346514494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 ALLIANCE PKWY",
            "address_2": "SUITE 201",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433585",
            "telephone_number": "254-300-4399",
            "fax_number": "254-300-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 ALLIANCE PKWY",
            "address_2": "SUITE 201",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433585",
            "telephone_number": "254-300-4399",
            "fax_number": "254-300-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJF ENTERPRISE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "FEDRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "254-300-4399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G3347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazos Homecare Medical Services / Brazos Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monte B Cooper, DDS
• David Q. Moore, L.L.C.
• Kristen Tilton Davis, M.S., CCC-SLP
• Tonya Nichole Davis, BCBA-D
• Jon Braden Debault, APRN-CNP
• Nancy Dominguez, EDD, MED, LPC
• Parker James Donner, PH.D.
• Elite Wellness Waco LLC
• Mark Anthony Ervi, M.S.S.W., LCSW
• Lori Espinosa, PHARMD

• Primary Care Clinic/Center in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.