Active NPI
TVP Medical, PLLC
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1417808361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TVP MEDICAL, PLLC
- Practice address
- 209 Saint Louis Ave
Fort Worth, TX 76104-1278 - Phone
- (817) 961-1842
- NPI assigned
- Feb 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hayleyesus Gulilat, NP
- Title
- Ceo
- Phone
- (817) 718-0271
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
209 Saint Louis Ave
Fort Worth, TX 76104-1278
Mailing address
209 Saint Louis Ave
Fort Worth, TX 76104-1278
Phone (817) 961-1842
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1316310170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770336000000",
"number": "1417808361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SAINT LOUIS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041278",
"telephone_number": "817-961-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SAINT LOUIS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041278",
"telephone_number": "817-961-1842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TVP MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-06",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A",
"authorized_official_last_name": "GULILAT",
"authorized_official_first_name": "HAYLEYESUS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-718-0271",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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 Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.