Organization Active NPI

FGF Network

  • Gastroenterology Physician
  • Dallas, TX
National Provider Identifier
1972652287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E7909 Issued in TX
Legal business name
FGF NETWORK
Practice address
17950 Preston Rd
Ste 210
Dallas, TX 75252-5793
Phone
(972) 380-1510
Fax
(972) 380-1539
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fathi G Fam, MD
Title
President
Phone
(972) 380-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X E7909 TX Primary

Addresses

Primary practice location

17950 Preston Rd
Ste 210
Dallas, TX 75252-5793

Mailing address

17950 Preston Rd
Ste 210
Dallas, TX 75252-5793
Phone (972) 380-1510

Other identifiers 1

IdentifierTypeStateIssuer
12777755006MedicaidTX

Other names 1

  • FAM PRACTICE GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

17950 Preston Rd
Ste 210
Dallas, TX 75252
Phone (972) 380-1510

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972652287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 PRESTON RD",
            "address_2": "STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525793",
            "telephone_number": "972-380-1510",
            "fax_number": "972-380-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17950 PRESTON RD",
            "address_2": "STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525793",
            "telephone_number": "972-380-1510",
            "fax_number": "972-380-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FGF NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "FATHI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-380-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "E7909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12777755006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAM PRACTICE GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.