K-Care Family Medical P a

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DOE9747 Issued in TX

Legal business name

K-CARE FAMILY MEDICAL P A

Practice address

4798 Highway 377
Benbrook, TX 76116-8892

Phone

(817) 244-9500

Fax

(817) 244-9502

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Imre J Kocsis, D.O.

Title

President

Phone

(817) 244-9500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1992070171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 HIGHWAY 377",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761168892",
            "telephone_number": "817-244-9500",
            "fax_number": "817-244-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 HIGHWAY 377",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761168892",
            "telephone_number": "817-244-9500",
            "fax_number": "817-244-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-CARE FAMILY MEDICAL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "KOCSIS",
        "authorized_official_first_name": "IMRE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-244-9500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "DOE9747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139948723",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMIES",
            "identifier": "207QA0505X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L. Jones, FNP
• Neal B Jones, DMD
• Joseph Daniels, DO
• JRNC Management Services Inc
• Tan-Tinisha Colette Juarez, BCBA
• Harold John Kamara, DDS
• Deanna Keane
• Jeremiah Keith, BCBA
• Nancy Keller
• Amanda Kennedy, LCSW

• Clinic/Center in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.