Ft Worth Neurology Consultants PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

FT WORTH NEUROLOGY CONSULTANTS PA

Practice address

1307 8TH Ave
Suite 301
Fort Worth, TX 76104-4137

Phone

(817) 920-0900

Fax

(817) 920-0969

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Shirley A Molenich, MD

Title

Owner

Phone

(817) 920-0900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1447244975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE",
            "address_2": "SUITE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-920-0900",
            "fax_number": "817-920-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 8TH AVE",
            "address_2": "SUITE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-920-0900",
            "fax_number": "817-920-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT WORTH NEUROLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "MOLENICH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-920-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084468001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00560X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fry, NNP
• Rebecca A Fry, RN
• Ft Network LLC
• Ft Worth Diagnostic Radiology PA
• Ft Worth Eye Prosthetics Inc
• Ft Worth Ranch Assist, LLC
• Ft Worth TX Caregiving LLC
• Ft. Worth Southwest Nursing Center, LLC
• FTWH Dental PLLC
• Maining Fu, MS

• Neurology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.