Fort Worth Clinic Specialty Care, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F2508 Issued in TX

Legal business name

FORT WORTH CLINIC SPECIALTY CARE, PLLC

Practice address

212 Cattlebaron Park Dr
Fort Worth, TX 76108-9512

Phone

(817) 454-7965

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

George Jay Zimmermann, M.D.

Title

Managing Member

Phone

(817) 454-7965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1669628780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CATTLEBARON PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089512",
            "telephone_number": "817-454-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CATTLEBARON PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761089512",
            "telephone_number": "817-454-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH CLINIC SPECIALTY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-454-7965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.