Lavear Medical, P.a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LAVEAR MEDICAL, P.A

Doing business as

CowTown Headache Center

Practice address

4055 International PLZ Ste 660
Fort Worth, TX 76109-4874

Phone

(817) 592-8427

Fax

(833) 630-0542

NPI assigned

Nov 3, 2021

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Lavear, PA-CNPI 1336643543

Title

Owner

Phone

(636) 575-0888

Specialties & licenses 2

Addresses

Other names 1

• CowTown Headache Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Andrew Lavear, PA-C

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1336643543
  Medicare reassignment Care Compare group Authorized official
• Peter Joseph O'Carroll III, M.D.

  • Neurology Physician
  • Granbury, TX
  • NPI 1811190812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1720743982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 HOMESTEAD CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760496205",
            "telephone_number": "636-575-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 INTERNATIONAL PLZ STE 660",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094874",
            "telephone_number": "817-592-8427",
            "fax_number": "833-630-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVEAR MEDICAL, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "LAVEAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-575-0888",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CowTown Headache Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Laurel
• Jennifer Kate Laurence, CRNA
• Laurie Boquet Dory, M.D.P.a.
• Tivera Laury
• Meredith Melton Lavallais, M.D
• Andrew Lavear, PA-C
• Rosemarie Lavilla
• Charles Henry Lavine, LPC-S
• David M. Lavine, M.D.
• Debbie Kay Lavine, OTD, OTR/L, CIMI

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.