South Fork Management and Consulting LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTH FORK MANAGEMENT AND CONSULTING LLC

Practice address

20185 US Highway 59
Ste 78a
New Caney, TX 77357-8358

Phone

(281) 319-4910

Fax

(281) 913-0358

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Loretta Worsham

Title

Administrator

Phone

(281) 319-4910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1982943437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20185 US HIGHWAY 59",
            "address_2": "STE 78A",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773578358",
            "telephone_number": "281-319-4910",
            "fax_number": "281-913-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20185 US HIGHWAY 59",
            "address_2": "STE 78A",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773578358",
            "telephone_number": "281-319-4910",
            "fax_number": "281-913-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FORK MANAGEMENT AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "WORSHAM",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-319-4910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.