Fort Worth Health Alliance, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FORT WORTH HEALTH ALLIANCE, LLC

Practice address

3625 Western Center Blvd
Fort Worth, TX 76137-1936

Phone

(817) 498-7333

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gideon Traweek, DCNPI 1295966133

Title

Authorized Official

Phone

(817) 498-7333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gideon Traweek, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1295966133
  NPD Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1376053215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371936",
            "telephone_number": "817-498-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH HEALTH ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "TRAWEEK",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-498-7333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Worth Foot and Ankle, PLLC
• Fort Worth Foot Clinic (Fort Worth Med Ex)
• Fort Worth Foot Clinic
• Fort Worth Hand Center
• Fort Worth Head Neck and Jaw PLLC (Ried Physical Therapy)
• Fort Worth Health Rejuvenation
• Fort Worth Health, LLC
• Fort Worth Healthcare Systems LLC
• Fort Worth Heart, P.a.
• Fort Worth HK Group Health, LLC

• General Practice Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.