Organization Active NPI

North Texas Veterans Hospital Administration

  • VA Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1811027972
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
NORTH TEXAS VETERANS HOSPITAL ADMINISTRATION
Practice address
300 W Rosedale St
Fort Worth, TX 76104-4856
Phone
(817) 882-6173
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Adrian Lynette Manuel
Title
Nurse Case Manager
Phone
(817) 882-6173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X TX Primary

Addresses

Primary practice location

300 W Rosedale St
Fort Worth, TX 76104-4856

Mailing address

4000 Oakwood Dr
Euless, TX 76040-3415
Phone (817) 267-1666

National Provider Directory

National Provider Directory

Locations

300 W Rosedale St
Ft Worth, TX 76104
Phone (817) 335-2202

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1811027972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OAKWOOD DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403415",
            "telephone_number": "817-267-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044856",
            "telephone_number": "817-882-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS VETERANS HOSPITAL ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "NURSE CASE MANAGER",
        "authorized_official_telephone_number": "817-882-6173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 18, 2008; 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.