C M Persons M D P a

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F4368 Issued in TX

Legal business name

C M PERSONS M D P A

Practice address

4625 Boat Club Rd
Ste: 253
Fort Worth, TX 76135-7022

Phone

(817) 399-1622

Fax

(817) 540-0759

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Kelly M Persons, CRNFA

Title

Nurse

Phone

(817) 399-1622

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Gene P Ream, M.D.

  • Dermatology Physician
  • Euless, TX
  • NPI 1013962109
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1891090155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD.",
            "address_2": "STE: 253",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357023",
            "telephone_number": "817-399-1622",
            "fax_number": "817-540-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD",
            "address_2": "STE: 253",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357022",
            "telephone_number": "817-399-1622",
            "fax_number": "817-540-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C M PERSONS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "PERSONS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "817-399-1622",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F4368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114261403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Byrd, PH.D.
• William Brian Byrd, M.D.
• Catherine Byrne, LPC
• Ivy Byun, PHD, LPC
• Young Sup Byun, M.D.
• C&C Clinical Solutions PLLC
• Cabal Group Inc.
• Ciro Cabal
• Cathleen Ann Caballero, LCSW
• Roberto Caballero, MD

• Orthopaedic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.