Organization Active NPI

LV Medical Fort Worth, PLLC

Doing business as LV Medical Fort Worth

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1639963598
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LV MEDICAL FORT WORTH, PLLC
Doing business as
LV Medical Fort Worth
Practice address
800 8TH Ave Ste 412
Fort Worth, TX 76104-2618
Phone
(817) 662-2006
Fax
(817) 623-9598
NPI assigned
Apr 7, 2025
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Dr. Christian Lance, MDNPI 1003903584
Title
President/Manager
Phone
(817) 662-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

800 8TH Ave Ste 412
Fort Worth, TX 76104-2618

Mailing address

800 8TH Ave
Ste 412
Fort Worth, TX 76104-2618
Phone (817) 662-2006

Other identifiers 2

IdentifierTypeStateIssuer
1700803483OtherNPI
1003903584OtherNPI

Other names 1

  • LV Medical Fort Worth Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2323453LV Medical Fort Worth800 8TH Ave Ste 412, Fort Worth, TX 76104Certificate of waiverMay 6, 2027

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1639963598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "STE 412",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042618",
            "telephone_number": "817-662-2006",
            "fax_number": "817-623-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 412",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042618",
            "telephone_number": "817-662-2006",
            "fax_number": "817-623-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV MEDICAL FORT WORTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "817-662-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700803483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003903584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LV Medical Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LV Medical Fort Worth",
            "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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.