Organization Active NPI

Westcreek Animal Clinic P.C.

  • Veterinarian
  • Fort Worth, TX
National Provider Identifier
1447636212
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
4527 Issued in TX
Legal business name
WESTCREEK ANIMAL CLINIC P.C.
Practice address
3313 Park Lake Dr.
Fort Worth, TX 76133
Phone
(817) 294-0390
Fax
(817) 423-1905
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Dr. Larry Dee Gumfory, DVM
Title
Veterinarian/Owner
Phone
(817) 294-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VeterinarianGroup: 193400000X SINGLE SPECIALTY GROUP 174M00000X 4527 TX Primary

Addresses

Primary practice location

3313 Park Lake Dr.
Fort Worth, TX 76133

Mailing address

3313 Park Lake Dr.
Fort Worth, TX 76133
Phone (817) 294-0390

National Provider Directory

National Provider Directory

Locations

3313 Park Lake Dr
Fort Worth, TX 76133
Phone (817) 294-0390

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1447636212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 PARK LAKE DR.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "817-294-0390",
            "fax_number": "817-423-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 PARK LAKE DR.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "817-294-0390",
            "fax_number": "817-423-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCREEK ANIMAL CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "GUMFORY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "VETERINARIAN/OWNER",
        "authorized_official_telephone_number": "817-294-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "TX",
            "license": "4527",
            "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 Aug 6, 2015; 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.