Active NPI
Momentum Health Partners PLLC
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1750753976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MOMENTUM HEALTH PARTNERS PLLC
- Practice address
- 4551 Boat Club Rd
Fort Worth, TX 76135-2004 - Phone
- (817) 905-4017
- Fax
- (888) 507-6727
- NPI assigned
- Oct 27, 2015
- Last updated
- Oct 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Conroy, DO
- Title
- Owner
- Phone
- (817) 320-9956
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
4551 Boat Club Rd
Fort Worth, TX 76135-2004
Mailing address
100 Aledo Grove CT
Fort Worth, TX 76126-6049
National Provider Directory
National Provider DirectoryLocations
4551 Boat Club Rd
Fort Worth, TX 76135
Phone (817) 905-4017
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1518182518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1750753976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ALEDO GROVE CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761266049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 BOAT CLUB RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352004",
"telephone_number": "817-905-4017",
"fax_number": "888-507-6727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM HEALTH PARTNERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "CONROY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-320-9956",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.