NPIMap

Organization Active NPI

Pro Health Diagnostics of North Texas PA

  • Cardiovascular Disease Physician
  • Fort Worth, TX
National Provider Identifier
1659664100
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PRO HEALTH DIAGNOSTICS OF NORTH TEXAS PA
Practice address
1904 Canterbury Drive
Fort Worth, TX 76107-3514
Phone
(817) 919-8703
Fax
(817) 336-1954
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Amir Z Malik, MD
Title
Owner
Phone
(817) 919-8703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X TX Primary

Addresses

Primary practice location

1904 Canterbury Drive
Fort Worth, TX 76107-3514

Mailing address

1904 Canterbury Dr
Fort Worth, TX 76107-3514
Phone (817) 919-8703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1659664100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CANTERBURY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073514",
            "telephone_number": "817-919-8703",
            "fax_number": "817-336-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 CANTERBURY DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073514",
            "telephone_number": "817-919-8703",
            "fax_number": "817-336-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH DIAGNOSTICS OF NORTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-919-8703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2012; 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.