NPIMap

Organization Active NPI

Ebotagborndang Mbi

Doing business as US Care

  • Preferred Provider Organization
  • Fort Worth, TX
National Provider Identifier
1629254925
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
EBOTAGBORNDANG MBI
Doing business as
US Care
Practice address
3951 Kirby Dr
532
Fort Worth, TX 76155-3925
Phone
(713) 202-9177
Fax
(817) 684-3829
NPI assigned
Jan 16, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Ebotagborndang Mbi
Title
Director
Phone
(713) 202-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X TX Primary

Addresses

Primary practice location

3951 Kirby Dr
532
Fort Worth, TX 76155-3925

Mailing address

3951 Kirby Dr
532
Fort Worth, TX 76155-3925
Phone (713) 202-9177

Other names 1

  • US Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1629254925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 KIRBY DR",
            "address_2": "532",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761553925",
            "telephone_number": "713-202-9177",
            "fax_number": "817-684-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 KIRBY DR",
            "address_2": "532",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761553925",
            "telephone_number": "713-202-9177",
            "fax_number": "817-684-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBOTAGBORNDANG MBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "MBI",
        "authorized_official_first_name": "EBOTAGBORNDANG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-202-9177"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2009; 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.