Organization Active NPI

Euless Family Medicine & Pain Management PLLC

  • Family Medicine Physician
  • Euless, TX
National Provider Identifier
1972879179
Registry record updated Apr 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EULESS FAMILY MEDICINE & PAIN MANAGEMENT PLLC
Practice address
910 N Main St
Euless, TX 76039-3355
Phone
(817) 545-1307
Fax
(817) 545-1790
NPI assigned
Apr 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2012

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

Authorized official

Name
Matt Patton
Title
Practice Manager
Phone
(940) 243-2789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

910 N Main St
Euless, TX 76039-3355

Mailing address

910 N Main St
Euless, TX 76039-3355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333238400000",
    "number": "1972879179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760393355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760393355",
            "telephone_number": "817-545-1307",
            "fax_number": "817-545-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EULESS FAMILY MEDICINE & PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-01",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "940-243-2789"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.