North Texas Family Care Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH TEXAS FAMILY CARE ASSOCIATES PA

Practice address

823 Ira E Woods Ave
Suite 200
Grapevine, TX 76051-4083

Phone

(817) 421-9999

Fax

(817) 421-9910

NPI assigned

Jul 1, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saba Shabnam, M.D.

Title

President

Phone

(817) 421-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1558658245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2166",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760992166",
            "telephone_number": "817-421-9999",
            "fax_number": "817-421-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 IRA E WOODS AVE",
            "address_2": "SUITE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514083",
            "telephone_number": "817-421-9999",
            "fax_number": "817-421-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS FAMILY CARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "SHABNAM",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-421-9999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0002WV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Texas Adult and Child Counseling Center LLC
• North Texas Medical Transport, LLC
• North Texas Orthopedics Surgical Partners PLLC
• North Texas Sports and Orthopedic Center, PLLC
• NTDS Grapevine
• NTKC Management, LLC (North Texas Kidney Consultants)

• Family Medicine Physician in Grapevine, TX
• Providers in Grapevine, 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 5, 2011; 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.