Active NPI
Swordfish Healthcare
- Occupational Medicine Clinic/Center
- Fort Worth, TX
National Provider Identifier
1639506561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- PA01304
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physician Assistant
- Conroe, TX
- NPI 1124456892
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.