Organization Active NPI

PMR MD PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
National Provider Identifier
1447840848
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PMR MD PLLC
Practice address
5000 Alicia Dr
Fort Worth, TX 76133-7902
Phone
(214) 390-7697
Fax
(972) 432-6692
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Robert Groysman
Title
Admin
Phone
(214) 390-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5000 Alicia Dr
Fort Worth, TX 76133-7902

Mailing address

960 Ridgeview Drive
Ste 140 - 208
Allen, TX 75013
Phone (214) 390-7697

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1447840848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIDGEVIEW DRIVE",
            "address_2": "STE 140 - 208",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "214-390-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 ALICIA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337902",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "GROYSMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "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 Jan 20, 2021; 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.