Organization Active NPI

Swordfish Healthcare

  • Occupational Medicine Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1639506561
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
PA01304 Issued in TX
Legal business name
SWORDFISH HEALTHCARE
Doing business as
Swordfish Healthcare
Practice address
6051 Davis Blvd
Ft Worth, TX 76182-5401
Phone
(866) 229-5066
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Mr. Greg McCullough
Title
Recruiter
Phone
(832) 685-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X PA01304 TX Primary

Addresses

Primary practice location

6051 Davis Blvd
Ft Worth, TX 76182-5401

Mailing address

4304 Apache CT
Bryan, TX 77802-3501
Phone (979) 709-8361

Other names 1

  • Swordfish Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1639506561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 APACHE CT",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023501",
            "telephone_number": "979-709-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 DAVIS BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761825401",
            "telephone_number": "866-229-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWORDFISH HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "RECRUITER",
        "authorized_official_telephone_number": "832-685-4424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "PA01304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swordfish Healthcare",
            "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 Oct 9, 2013; 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.