Dynamic Rpa Healthcare PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

H7354 Issued in TX

Legal business name

DYNAMIC RPA HEALTHCARE PA

Practice address

6901 McCart Ave
# 200
Fort Worth, TX 76133-6377

Phone

(817) 294-9600

Fax

(817) 294-9600

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Christopher A Ineama, PA

Title

Partner

Phone

(817) 294-9600

Specialties & licenses 2

Addresses

Other names 1

• DYNAMIC MEDICAL Doing business as

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1790100550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 MCCART AVE",
            "address_2": "# 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336377",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MCCART AVE",
            "address_2": "# 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336377",
            "telephone_number": "817-294-9600",
            "fax_number": "817-294-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RPA HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "INEAMA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "817-294-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "H7354",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIC MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Wayne Dyer, DO
• Heather Celeste Dyer, NP
• Allen S Dyke, MD
• Tamiyah Dykes
• Dynamic Rpa Healthcare PA
• Dynamic Rpa Healthcare PC
• Justin Matthew Dyniewski, M.D.
• Ashley Dyok, FNP
• Laura Dyson
• Maynard C Dyson, MD

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.