SUPERIOR EVALUATION SERVICES


Address: 420 Throckmorton Suite 200, Ft. Worth, TX 76102
Phone: 8178634315

SUPERIOR EVALUATION SERVICES (NPI# 1093134512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093134512
Entity Type Organization
Organization Name SUPERIOR EVALUATION SERVICES
Practice Address 420 Throckmorton Suite 200
Ft. Worth
TX 76102
Mailing Address 4040 Alava Dr
Fort Worth
TX 76133-5555
Practice Telephone 8178634315
Practice Fax Number 8885750212
Mailing Telephone 8176575199
Mailing Fax Number 8885750212
Enumeration Date 2014-04-11
Last Update Date 2014-04-11
Authorized Official Name MR. JERRY REX BROOKS (OWNER)
Authorized Official Telephone 8176575199
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 420 THROCKMORTON SUITE 200
City FT. WORTH
State TX
Zip Code 76102

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City FT. WORTH
Zip Code 76102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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