T Off Men's Health Keller, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

T OFF MEN'S HEALTH KELLER, LLC

Practice address

8739 Davis Blvd
A
Keller, TX 76248-0309

Phone

(817) 889-7066

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Alexander Harper

Title

Owner

Phone

(817) 889-7066

Specialties & licenses 1

Addresses

Locations

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.

• Jessica Marie Zimmer, PA-C

  • Physician Assistant
  • Roanoke, TX
  • NPI 1124563671
  NPD (past)

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1679016984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8739 DAVIS BLVD",
            "address_2": "A",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8739 DAVIS BLVD",
            "address_2": "A",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480309",
            "telephone_number": "817-889-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T OFF MEN'S HEALTH KELLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-889-7066"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Temal Surujdin
• SV LLC (Alexa Pharmacy)
• Heather Sylvia
• Synergy Scripts PLLC
• Hanna Nicole Syster
• Jeanine Marie Tackla, APRN, MSN, A-GNP-C,
• Larry P Tadlock, D.D.S.
• Jennifer Tailleur, LPC
• James A Taki, MD
• Joseph Tyler Talley, PA-C

• Family Medicine Physician in Keller, TX
• Providers in Keller, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.