FORT PHYSICIANS & PROFESSIONALS PLLC (NPI# 1942839113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942839113 |
| Entity Type | Organization |
| Organization Name | FORT PHYSICIANS & PROFESSIONALS PLLC |
| Practice Address |
7140 Oakmont Boulevard Fort Worth TX 76132 |
| Mailing Address |
32302 Alipaz St Spc 41 San Juan Capistrano CA 92675-4158 |
| Practice Telephone | 8176787428 |
| Practice Fax Number | 6827075750 |
| Mailing Telephone | 5625447823 |
| Mailing Fax Number | 9494856212 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | MISS ALICE ANN KUCHINSKAS (PAYER RELATIONS) |
| Authorized Official Telephone | 5625447823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900478 | Fort Physicians & Professionals Pllc | Behavioral Analyst | 5833 Oak Bend Trail, Fort Worth, TX 76132-3900 | 2020-04-13 |
| Street Address |
7140 OAKMONT BOULEVARD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| 1326594052 | Stockyards Healthcare, Inc. | Skilled Nursing Facility | 6301 Oakmont Boulevard, Fort Worth, TX 76132 | 2016-09-01 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194883819 | Joseph H Burkett | Psychiatry & Neurology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926626 | Carma Specialty Health Pllc | Psychiatry & Neurology | 630 W 34th St Ste 301a, Austin, TX 78705-1232 | 2019-01-21 |
| 1659849909 | Sanative LLC | Psychiatry & Neurology | 9900 N Central Expy Ste 555, Dallas, TX 75231-0984 | 2018-11-05 |
| 1881074110 | Medical & Psychiatric Associates of South Texas, Pllc | Psychiatry & Neurology | 3401 Padre Blvd Ste B, South Padre Island, TX 78597-7125 | 2015-06-02 |
| 1700114055 | James M. May, M.d., P.a. | Psychiatry & Neurology | 6625 Wooldridge Rd Ste 402, Corpus Christi, TX 78414-2916 | 2009-11-25 |
| 1386807659 | Medcare Clinc | Psychiatry & Neurology | 12834 Willow Ctr Ste E, Houston, TX 77066-3047 | 2008-07-08 |
| 1316105232 | Gloria Arko Maguadog | Psychiatry & Neurology | 4800 W 34th St Ste B3, Houston, TX 77092-6661 | 2008-05-28 |
| 1255509907 | Luke Peris Md | Psychiatry & Neurology | 14800 Quorum Dr Ste 465, Dallas, TX 75254-1420 | 2008-02-15 |
| 1871717884 | Adib Rizkallah Mikhail | Psychiatry & Neurology | 34 Leisure Lane, The Woodlands, TX 77380-1322 | 2007-04-12 |
| 1336209147 | Oscar E Perez | Psychiatry & Neurology | 1400 N El Paso St Ste A, 1400 N El Paso St Bldg A, El Paso, TX 79902-3438 | 2006-12-11 |
| 1861565798 | Syed Ahmed | Psychiatry & Neurology | 1301 Link Rd, League City, TX 77573-6313 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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| 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.