NPIMap

Organization Active NPI

Legacy Neurology & Sleep of North Texas

  • Health Service Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1750785705
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LEGACY NEUROLOGY & SLEEP OF NORTH TEXAS
Practice address
10369 Bradshaw Dr
Fort Worth, TX 76108-6990
Phone
(817) 500-3407
Fax
(682) 730-1808
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Ms. Cheryl N Nichols, RPSGT
Title
President/Owner
Phone
(817) 500-3407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

10369 Bradshaw Dr
Fort Worth, TX 76108-6990

Mailing address

10369 Bradshaw Dr
Fort Worth, TX 76108-6990
Phone (817) 500-3407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1750785705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10369 BRADSHAW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761086990",
            "telephone_number": "817-500-3407",
            "fax_number": "682-730-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10369 BRADSHAW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761086990",
            "telephone_number": "817-500-3407",
            "fax_number": "682-730-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY NEUROLOGY & SLEEP OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "817-500-3407",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "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 20, 2014; 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.