Clinical Tissue Technologies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLINICAL TISSUE TECHNOLOGIES LLC

Practice address

2921 Brown TRL # 101
Bedford, TX 76021-4144

Phone

(214) 461-0543

Fax

(469) 998-9101

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ioana Porfir, DDS, PHD

Title

Ceo

Phone

(312) 451-5976

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1740889005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 JOHNSON RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925619",
            "telephone_number": "312-451-5976",
            "fax_number": "469-998-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 BROWN TRL # 101",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214144",
            "telephone_number": "214-461-0543",
            "fax_number": "469-998-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL TISSUE TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "PORFIR",
        "authorized_official_first_name": "IOANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-451-5976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Clark, PA
• Clawson Group Inc
• Chad Alan Clawson, D.C.
• Jessica Renee Clemons, NP
• Clinica de la Familia Hispana Ebenezer LLC
• Lora Cobb, NP
• Cognitive Solutions, PA
• Cohealth Psychology Services, P.a.
• Cole Associates and Counselors of Texas, PLLC
• La'Boris Cole, PHD

• Durable Medical Equipment & Medical Supplies in Bedford, TX
• Providers in Bedford, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.