Texas Reproductive Center LLC

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

License

45D1107754 Issued in TX

Legal business name

TEXAS REPRODUCTIVE CENTER LLC

Practice address

1800 Mistletoe Boulelvard
Suite 200
Fort Worth, TX 76104

Phone

(817) 546-7442

Fax

(817) 570-0411

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

M Leesa Salamone

Title

Business Manager

Phone

(817) 546-7442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1376787572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MISTLETOE BOULELVARD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-546-7442",
            "fax_number": "817-570-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MISTLETOE BOULELVARD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-546-7442",
            "fax_number": "817-570-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS REPRODUCTIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SALAMONE",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "LEESA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "817-546-7442"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "TX",
            "license": "45D1107754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Fertility Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ambulatory Fertility Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.