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SOM PHYSICIAN ASSOCIATES PLLC NPI 1972046209


NPI Information

NPI: 1972046209
Provider Name: SOM PHYSICIAN ASSOCIATES PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4716 E LANCASTER AVE
FORT WORTH, TX
ZIP 76103
Phone: (817) 413-8000
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SOM PHYSICIAN ASSOCIATES PLLC is a general practice in Fort Worth, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOM PHYSICIAN ASSOCIATES PLLC NPI is 1972046209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4716 E LANCASTER AVE
FORT WORTH, TX
ZIP 76103-836
Phone: (817) 413-8000

The provider's authorized official is Shamsideen Musa .
The authorized official title is President and has the following contact phone number (773) 552-7426.

The enumeration date for this NPI number is 11/17/2016 and was last updated on 11/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeQ4477TEXASYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.