Organization Active NPI

Womans Clinic at Livingston PLLC

  • Diagnostic Radiology Physician
  • Livingston, TX
National Provider Identifier
1750725131
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WOMANS CLINIC AT LIVINGSTON PLLC
Practice address
111 Emergency Dr.
Ste C
Livingston, TX 77351
Phone
(817) 570-7300
Fax
(817) 570-7062
NPI assigned
Apr 29, 2013
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
WOMAN'S CLINIC PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. Mahesh Shetty, MD
Title
Manager
Phone
(817) 570-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

111 Emergency Dr.
Ste C
Livingston, TX 77351

Mailing address

4100 International PLZ
Ste 240
Fort Worth, TX 76109-4820
Phone (817) 570-7300

National Provider Directory

National Provider Directory
Part of
Womans Clinic PLLC

Locations

4100 International Plz
Ste 240
Ft Worth, TX 76109

111 Emergency Dr
Ste C
Livingston, TX 77352
Phone (817) 570-7300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1750725131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLZ",
            "address_2": "STE 240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094820",
            "telephone_number": "817-570-7300",
            "fax_number": "817-570-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EMERGENCY DR.",
            "address_2": "STE C",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "77351",
            "telephone_number": "817-570-7300",
            "fax_number": "817-570-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMANS CLINIC AT LIVINGSTON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMAN'S CLINIC PLLC",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-570-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.