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
1	261QP2300X	Clinic/Center	Primary Care	D8836	TEXAS	Yes

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
1	00377Y	MEDICARE PIN	TEXAS
2	122334903	MEDICAID	TEXAS
3	080087217	MEDICARE PIN	TEXAS
4	8D2910	MEDICARE PIN	TEXAS
5	0092RA	OTHER	TEXAS	BLUE 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: 11/14/2023

NPI Synchronization or Removal

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