NPIMap

Organization Active NPI

Infinit Men's Health Clinic - Fort Worth

  • Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1386338127
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INFINIT MEN'S HEALTH CLINIC - FORT WORTH
Practice address
3728 Benbrook Hwy
Fort Worth, TX 76116-9429
Phone
(682) 250-3362
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Mr. Shane McKenzie KelleherNPI 1003273939
Title
Physician Assistant
Phone
(405) 550-4924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3728 Benbrook Hwy
Fort Worth, TX 76116-9429

Mailing address

3728 Benbrook Hwy
Fort Worth, TX 76116-9429
Phone (682) 250-3362

National Provider Directory

National Provider Directory

Locations

3728 Benbrook Hwy
Fort Worth, TX 76116
Phone (682) 250-3362

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1386338127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 BENBROOK HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169429",
            "telephone_number": "682-250-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 BENBROOK HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169429",
            "telephone_number": "682-250-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIT MEN'S HEALTH CLINIC - FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MCKENZIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "405-550-4924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.