Jack F. Hardwick,M.D.,P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C6352 Issued in TX

Legal business name

JACK F. HARDWICK,M.D.,P.A.

Practice address

7100 Oakmont Blvd
Suite 204
Fort Worth, TX 76132-3900

Phone

(817) 346-5330

Fax

(817) 346-5356

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Jack F. Hardwick, M.D.

Title

Owner

Phone

(817) 346-5330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1497945877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "SUITE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-346-5330",
            "fax_number": "817-346-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "SUITE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-346-5330",
            "fax_number": "817-346-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK F. HARDWICK,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-346-5330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "C6352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.