Organization Active NPI

Texas Ear, Nose & Throat Specialists, L.L.P.

  • Specialist
  • Bedford, TX
National Provider Identifier
1790747509
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TEXAS EAR, NOSE & THROAT SPECIALISTS, L.L.P.
Practice address
1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934
Phone
(817) 540-3121
Fax
(817) 355-4511
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mrs. Vickie Danford
Title
Business Manager
Phone
(817) 540-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934

Mailing address

1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934
Phone (817) 540-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050824000514 TX Part B Supplier - Clinic/Group Practice 9133150691 Receives reassigned benefits from 16 practitioners
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

1615 Hospital Pkwy
Ste 201
Bedford, TX 76022

1615 Hospital Pkwy
Ste 210
Bedford, TX 76022
Phone (817) 540-3121

4320 Windsor Centre Trl
Ste 200
Flower Mound, TX 75028
Phone (972) 691-0368

905 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 809-2400

2813 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 835-9289

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1790747509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "STE. 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-540-3121",
            "fax_number": "817-355-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY",
            "address_2": "STE. 210",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225934",
            "telephone_number": "817-540-3121",
            "fax_number": "817-355-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EAR, NOSE & THROAT SPECIALISTS, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "DANFORD",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "817-540-3121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.