Fpacp Hogan Park LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FPACP HOGAN PARK LLC

Practice address

3203 Sage St
Midland, TX 79705-5711

Phone

(432) 683-5403

Fax

(432) 682-5105

NPI assigned

Aug 18, 2017

Organization subpart

Yes

Parent organization

FOCUSED POST ACUTE CARE PARTNERS II, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Jaimie Lyn Williams

Title

Executive Assistant

Phone

(817) 632-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1790201911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PARKVIEW DR STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025841",
            "telephone_number": "817-632-1000",
            "fax_number": "817-632-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 SAGE ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055711",
            "telephone_number": "432-683-5403",
            "fax_number": "432-682-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPACP HOGAN PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOCUSED POST ACUTE CARE PARTNERS II, LLC",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAIMIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "817-632-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Ambo Fonge Jr., PHARMACIST
• Foot and Ankle Center of West Texas PA
• John Wood Foster Jr., MD
• Michele Leigh Foster, APRN-FNP
• Pamela Ann Foster, PA
• Fpacp Midland LLC
• Chevelle S Francis
• Natalie Danielle Franco, APRN, FNP-BC
• Yvette Ramirez Franco, CF-SLP
• Franklin J. Dzida, MD, PA

• Skilled Nursing Facility in Midland, TX
• Providers in Midland, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.