NPIMap

Organization Active NPI

Planned Parenthood of North Texas - Southeast Health Services

  • Non-Surgical Family Planning Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1760633887
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
PLANNED PARENTHOOD OF NORTH TEXAS - SOUTHEAST HEALTH SERVICES
Practice address
3863 Miller Ave
Fort Worth, TX 76119-2965
Phone
(817) 536-4942
Fax
(817) 536-6205
NPI assigned
Oct 7, 2008
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF NORTH TEXAS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Beth Watson
Title
Vice President of Clinic Operations
Phone
(214) 363-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

3863 Miller Ave
Fort Worth, TX 76119-2965

Mailing address

7424 Greenville Ave Ste 206
Dallas, TX 75231-4534
Phone (214) 363-2004

Other identifiers 1

IdentifierTypeStateIssuer
1364812-14MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Greater Texas Inc- Arlington14 organizations share this tax ID, including this one
Part of
Planned Parenthood of Greater Texas Inc- Arlington

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3863 Miller Ave
Fort Worth, TX 76119
Phone (817) 536-4942

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1760633887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 GREENVILLE AVE STE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314534",
            "telephone_number": "214-363-2004",
            "fax_number": "214-696-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 MILLER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761192965",
            "telephone_number": "817-536-4942",
            "fax_number": "817-536-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF NORTH TEXAS - SOUTHEAST HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF NORTH TEXAS, INC",
        "enumeration_date": "2008-10-07",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "214-363-2004"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364812-14",
            "state": "TX"
        }
    ],
    "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 Mar 23, 2017; 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.