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MICHAEL E TRUMAN DO PA NPI 1275715518


NPI Information

NPI: 1275715518
Provider Name: MICHAEL E TRUMAN DO PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2401 CANTON DR
FORT WORTH, TX
ZIP 76112
Phone: (817) 446-5500
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MICHAEL E TRUMAN DO PA is a primary care clinic center in Fort Worth, TX. MICHAEL E TRUMAN DO PA NPI is 1275715518. The provider is registered as an organization entity type.

The provider's business location address is:

2401 CANTON DR
FORT WORTH, TX
ZIP 76112-001
Phone: (817) 446-5500
Fax: (817) 446-5509

The provider's authorized official is Michael E Truman .
The authorized official title is Owner and has the following contact phone number (817) 446-5500.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 5/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareD8836TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100377YMEDICARE PINTEXAS
2122334903MEDICAIDTEXAS
3080087217MEDICARE PINTEXAS
48D2910MEDICARE PINTEXAS
50092RAOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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