Southwest Trauma Recovery Clinics

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X

Legal business name

SOUTHWEST TRAUMA RECOVERY CLINICS

Practice address

1643 Lancaster Dr Ste 201
Grapevine, TX 76051-3593

Phone

(817) 264-7225

Fax

(972) 852-9094

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alok Kushwaha, MD

Title

Managing Partner

Phone

(817) 264-7225

Specialties & licenses 2

Addresses

Other names 1

• STAR Clinics Doing business as

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1346723988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR STE 201",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-264-7225",
            "fax_number": "972-852-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR STE 201",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-264-7225",
            "fax_number": "972-852-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TRAUMA RECOVERY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "KUSHWAHA",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-264-7225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STAR Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin David Solomon, MD
• Lauren Grace Sommer
• Christian Sommerhalder
• Maricelle G Sorolla Olympia, MD
• Southlake Therapy Group
• Speak Inc
• Cherie Spellman, LMFT
• Kristen Spence, PHARMD
• Jennifer Lynne Spencer, OTR
• Spogo LLC

• Brain Injury Medicine (Psychiatry & Neurology) Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Brain Injury Medicine (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.