Equinox Clinic PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

EQUINOX CLINIC PLLC

Practice address

3160 N Tarrant Pkwy Ste 404
Fort Worth, TX 76177-8614

Phone

(972) 707-0005

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Andrew Albert IndresanoNPI 1023214475

Title

MD

Phone

(972) 707-0005

Specialties & licenses 3

Addresses

Practitioners 1

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

• Andrew Albert Indresano, M.D

  • Orthopaedic Surgery of the Spine Physician
  • Fort Worth, TX
  • NPI 1023214475
  NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1902259385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E # 105-612",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 N TARRANT PKWY STE 404",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778614",
            "telephone_number": "972-707-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "INDRESANO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-707-0005"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda J Epperson, RN
• Stephen J Epping, M.D.
• Roger Stephen Eppstein, M.D.
• Epss LLC - East Series
• Farea Eqbal
• Equinox Spine PA
• ER Dental PLLC
• ER of Keller PLLC
• ER of NRH LLC
• ER of Watauga PLLC

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.