Highway 30 Family Medical Center, Pa
LBN: Highway 30 Family Medical Center, Pa
Highway 30 Family Medical Center, Pa is an health care organization with primary practice located at 1200 Woodhaven Blvd , Fort Worth TX 76112-2376. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Highway 30 Family Medical Center, Pa can be contacted via phone (817) 429-8300, or through Hoffman, Michael D via phone 81742983000.
Contact Information
Primary practice address
1200 Woodhaven Blvd
Fort Worth TX 76112-2376
Phone: (817) 429-8300
Fax: (817) 429-6167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1174581912 |
|---|---|
| LBN Legal business name | Highway 30 Family Medical Center, Pa |
| DBA Doing business as | |
| Authorized official | Hoffman, Michael D Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Apr 9th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174581912 | NPPES |
| Texas | MEDICAID | 153458801 | |
| Texas | MEDICAID | 153458802 |
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