All Healthcare Medical Clinic PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

K8667 Issued in TX

Legal business name

ALL HEALTHCARE MEDICAL CLINIC PLLC

Practice address

1413 N Beach St
Fort Worth, TX 76111-6614

Phone

(817) 831-0034

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Bao Vinh Nguyen-Phuc, MDNPI 1518094317

Title

Owner

Phone

(817) 831-0034

Specialties & licenses 1

Addresses

Other names 1

• BEACH MEDICAL CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Bao Vinh Nguyen Phuc, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1518094317
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1740685494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116614",
            "telephone_number": "817-831-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL HEALTHCARE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-PHUC",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "VINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-831-0034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "K8667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACH MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.