Fort Worth Neurotech, PA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

FORT WORTH NEUROTECH, PA

Practice address

8409 Pickwick LN # 175
Dallas, TX 75225-5323

Phone

(214) 675-0905

Fax

(214) 317-4888

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Trase Mahan

Title

Manager

Phone

(214) 675-0905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1821240409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268996",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268996",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 PICKWICK LN # 175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255323",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH NEUROTECH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "TRASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-675-0905"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Forsyth, M.D.
• Brian C Forsythe, D.O.
• Dylan Lee Forsythe, DO
• Mary Christine Forsythe, RD, LD
• Fort Hays State University
• Fort Worth Smiles by Wire, PLLC
• Stephanie Joy Fort, SLP
• Tyra M Fort
• Angela Henslee Forte, FNP
• Morgan Forteith

• Surgical Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.