Tarrant County Infectious Disease Associates

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

TARRANT COUNTY INFECTIOUS DISEASE ASSOCIATES

Practice address

1025 College Ave
Fort Worth, TX 76104-3013

Phone

(817) 348-0821

Fax

(817) 348-0073

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Pam Dunaj

Title

Practice Administrator

Phone

(817) 810-9810

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Mark J Hupert, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1265407761
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1366762841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043013",
            "telephone_number": "817-810-9810",
            "fax_number": "817-810-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043013",
            "telephone_number": "817-348-0821",
            "fax_number": "817-348-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY INFECTIOUS DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "DUNAJ",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-810-9810"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "00099K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "CH8204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarrant County Hospital District
• Tarrant County Hospital District
• Tarrant County Hospital District
• Tarrant County Hospital District
• Tarrant County Infectious Disease Associates
• Tarrant County Institute of Physical Medicine LLP
• Tarrant County Medical Institute, P.a.
• Tarrant County Physical Therapy
• Tarrant County Physicians Choice Homecare LLC
• Tarrant County Public Health

• Infectious Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.