Impatex

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

IMPATEX

Practice address

6300 Eagle Lake CT
Fort Worth, TX 76179-1645

Phone

(817) 908-3349

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Grace MbochiNPI 1356039846

Title

Manager

Phone

(817) 908-3349

Specialties & licenses 1

Addresses

Tax ID family

Impatex2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Impatex

  • Developmentally Disabled Services Day Training Agency
  • Fort Worth, TX
  • NPI 1275023590
  NPD tax ID

Practitioners 1

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

• Grace Mbochi

  • Registered Nurse
  • Fort Worth, TX
  • NPI 1356039846
  NPD Authorized official

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1730679176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 EAGLE LAKE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791645",
            "telephone_number": "817-908-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 EAGLE LAKE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761791645",
            "telephone_number": "817-908-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPATEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "MBOCHI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-908-3349"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haivan Immler, PHARMD
• Timothy James Immonen, D.O.
• Impact Medical Services LLC
• Impactful Speech Therapy PLLC
• Impatex
• Implants and Oral Surgery, PC
• Imran K Patel MD PA
• In Home Nurse Practitioners
• In Home Podiatry Clinic LLC
• Ashley Inbody

• Developmentally Disabled Services Day Training Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.