Organization Active NPI

Tarrant County Medical Institute, P.a.

Doing business as Texas Medical Institute

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1699969865
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TARRANT COUNTY MEDICAL INSTITUTE, P.A.
Doing business as
Texas Medical Institute
Practice address
6789 Camp Bowie Blvd
Fort Worth, TX 76116-7112
Phone
(817) 731-2102
Fax
(817) 984-1857
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Sandra L Fletcher
Title
Business MGR
Phone
(214) 616-4892

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X TX
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

6789 Camp Bowie Blvd
Fort Worth, TX 76116-7112

Mailing address

6789 Camp Bowie Blvd
Fort Worth, TX 76116-7112
Phone (817) 731-2102

Other names 1

  • Texas Medical Institute Doing business as

National Provider Directory

National Provider Directory

Locations

8245 Precinct Line Rd
Ste 100
North Richlnd Hls, TX 76182
Phone (817) 503-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1699969865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6789 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167112",
            "telephone_number": "817-731-2102",
            "fax_number": "817-984-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167112",
            "telephone_number": "817-731-2102",
            "fax_number": "817-984-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY MEDICAL INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "214-616-4892"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Medical Institute",
            "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 10, 2017; 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.