BEATY BUSINESS SPENDTHRIFT TRUST (NPI# 1295157030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295157030 |
| Entity Type | Organization |
| Organization Name | BEATY BUSINESS SPENDTHRIFT TRUST |
| Practice Address |
1605 Clover Ln Fort Worth TX 76107-3902 |
| Practice Telephone | 8177376464 |
| Mailing Telephone | 8177376464 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | CINDY BEATY (MANAGER) |
| Authorized Official Telephone | 8177376464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1605 CLOVER LN |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431691 | Barry Beaty | Family Medicine | 1605 Clover Ln, Fort Worth, TX 76107-3902 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896849 | Mercy Mobile Care Pllc | Clinic/Center | 6825 Bayline Dr Apt 9102, Fort Worth, TX 76133-4975 | 2018-03-29 |
| 1285087775 | Health 2 Go | Clinic/Center | 4229 Bridgestone Dr, Fort Worth, TX 76123-8006 | 2016-07-20 |
| 1104218619 | Dr. Ankit Patel P.a. | Clinic/Center | 3825 E Belknap St, Fort Worth, TX 76111-6020 | 2015-02-21 |
| 1871985499 | Beyond The Veil | Clinic/Center | 7724 Marble Canyon Dr, Fort Worth, TX 76137-4156 | 2015-02-19 |
| 1750785705 | Legacy Neurology & Sleep of North Texas | Clinic/Center | 10369 Bradshaw Dr, Fort Worth, TX 76108-6990 | 2014-10-20 |
| 1093050940 | Fyatt Healthcare | Clinic/Center | 1608 Windsong Trl, 615, Fort Worth, TX 76120-4223 | 2012-12-04 |
| 1629227673 | Concentra Health Services, Inc. | Clinic/Center | 2500 West Fwy., Suite 100, Fort Worth, TX 76102-5848 | 2008-09-15 |
| 1649457896 | Channing Enterprise Inc | Clinic/Center | 1009 Baker St, Fort Worth, TX 76104-7211 | 2008-01-29 |
| 1528259322 | Md Pain Clinic, Inc. | Clinic/Center | 2406 W Seminary Dr, Fort Worth, TX 76115-1917 | 2007-08-06 |
| 1205434297 | Vital Foundations | Clinic/Center | 8637 Tribute Ln, Fort Worth, TX 76131-3385 | 2020-10-13 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on BEATY BUSINESS SPENDTHRIFT TRUST.
| 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.