T & R Clinic A Professional Association
LBN: T & R Clinic A Professional Association
T & R Clinic A Professional Association is an health care organization with primary practice located at 2919 Markum Drive , Fort Worth TX 76117-4004. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
T & R Clinic A Professional Association can be contacted via phone (817) 831-0321, or through Reddy, Suchita D. via phone (817) 831-0321.
Contact Information
Primary practice address
2919 Markum Drive
Fort Worth TX 76117-4004
Phone: (817) 831-0321
Fax: (817) 831-3211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M1311 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1578514535 |
|---|---|
| LBN Legal business name | T & R Clinic A Professional Association |
| DBA Doing business as | |
| Authorized official | Reddy, Suchita D. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Sep 24th, 2010 - about 14 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 | 1578514535 | NPPES |
| Texas | MEDICAID | 92104103 | |
| Texas | Other | CP0037 |
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