Organization Active NPI

Family Healthcare Clinic, LLC

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1710970694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R27870 Issued in TX
Legal business name
FAMILY HEALTHCARE CLINIC, LLC
Practice address
700 Hunters Row CT
Mansfield, TX 76063-4001
Phone
(817) 225-0517
Fax
(817) 225-0521
NPI assigned
Aug 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia Lorene Morris, APRN, MSN
Title
President
Phone
(817) 225-0517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R27870 TX Primary

Addresses

Primary practice location

700 Hunters Row CT
Mansfield, TX 76063-4001

Mailing address

700 Hunters Row CT
Mansfield, TX 76063-4001
Phone (817) 225-0517

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710970694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HUNTERS ROW CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634001",
            "telephone_number": "817-225-0517",
            "fax_number": "817-225-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HUNTERS ROW CT",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634001",
            "telephone_number": "817-225-0517",
            "fax_number": "817-225-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LORENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-225-0517",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, MSN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "R27870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.