Texas Nephrology Consultants, P.a

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

TEXAS NEPHROLOGY CONSULTANTS, P.A

Practice address

1650 W Rosedale St
Suite 103
Fort Worth, TX 76104-7400

Phone

(817) 313-2415

Fax

(817) 548-9775

NPI assigned

Oct 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Shahrokh Bahrami, D.O.

Title

Director

Phone

(817) 313-2415

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1447401765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-313-2415",
            "fax_number": "817-548-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W ROSEDALE ST",
            "address_2": "SUITE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047400",
            "telephone_number": "817-313-2415",
            "fax_number": "817-548-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS NEPHROLOGY CONSULTANTS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "SHAHROKH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-313-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fort Worth, TX
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.