Fossil Creek Family Medical Center
LBN: Fossil Creek Family Medical Center
Fossil Creek Family Medical Center is an health care organization with primary practice located at 7510 N Beach St , Fort Worth TX 76137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Fossil Creek Family Medical Center can be contacted via phone (817) 498-1818, or through Simonak, David Wayne via phone (817) 498-1818.
Contact Information
Primary practice address
7510 N Beach St
Fort Worth TX 76137
Phone: (817) 498-1818
Fax: (817) 581-3761
Website:
Authorized official contact:
Name: Simonak, David Wayne Doctor of Osteopathy (DO)
Phone: (817) 498-1818
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1639267982 |
|---|---|
| LBN Legal business name | Fossil Creek Family Medical Center |
| DBA Doing business as | |
| Authorized official | Simonak, David Wayne Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Mar 15th, 2019 - about 6 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 | 1639267982 | NPPES |
| Texas | MEDICAID | 121142701 |
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