Fort Worth Clinic Specialty Care PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F2508 Issued in TX

Legal business name

FORT WORTH CLINIC SPECIALTY CARE PLLC

Practice address

9003 Airport Freeway
Suite 300
North Richland Hills, TX 76180-9628

Phone

(817) 514-5200

Fax

(817) 514-5210

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George Jay Zimmerman, M.D.

Title

Sole MBR

Phone

(817) 336-7191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1760635346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NINTH AVENUE",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043917",
            "telephone_number": "817-336-7191",
            "fax_number": "817-332-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 AIRPORT FREEWAY",
            "address_2": "SUITE 300",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761809628",
            "telephone_number": "817-514-5200",
            "fax_number": "817-514-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH CLINIC SPECIALTY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "817-336-7191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F2508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.