Fouroakshealth LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

FOUROAKSHEALTH LLC

Practice address

5131 Bryce Ave
Fort Worth, TX 76107-3611

Phone

(817) 875-8031

NPI assigned

Jul 8, 2016

Last updated

Jul 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FOUROAKSGROUP, LLCAs reported in NPPES

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

Authorized official

Name

Harry D Spring

Title

Managing Member

Phone

(817) 875-8031

Specialties & licenses 1

Addresses

Other names 1

• FourOaksGroup, LLC Former legal business name

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1902258411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 BRYCE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073611",
            "telephone_number": "817-875-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 BRYCE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073611",
            "telephone_number": "817-875-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUROAKSHEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUROAKSGROUP, LLC",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "SPRING",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-875-8031"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FourOaksGroup, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Point of Service in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.