MS. CANDACE FRANCES BEEN


Address: Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119
Phone: 8175348400

MS. CANDACE FRANCES BEEN (NPI# 1598031841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598031841
Entity Type Individual
Full Name MS. CANDACE FRANCES BEEN
Credential DPM, PAC
Practice Address Federal Bureau of Prisons Federal Medical Center Fort
3150 Horton Road
Fort Worth
TX 76119
Mailing Address 3450 River Park Drive #1224
Fort Worth
TX 76116
Practice Telephone 8175348400
Mailing Telephone 6822084849
Enumeration Date 2012-03-30
Last Update Date 2019-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist SC004286L PA Podiatric Medicine & Surgery Service Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA08606L TX Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
MA003432L PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address FEDERAL BUREAU OF PRISONS FEDERAL MEDICAL CENTER FORT
3150 HORTON ROAD
City FORT WORTH
State TX
Zip Code 76119

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1023597366 Gregoire M Butera Registered Nurse 3883 Mighty Mite Dr., Fort Worth, TX 76119 2018-08-08
1598244816 Tawnya R Anderson Registered Nurse 3883 Mighty Mite Drive, Fort Worth, TX 76119 2018-08-08
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1053853697 Carla Walter Community Health Worker 4125 Hardeman Ave, Fort Worth, TX 76119 2016-11-14
1710238134 Thuy Vy Phan Physician Assistant 2500 Circle Dr, Fort Worth, TX 76119 2012-09-25
1053600262 Miller Dental Dentist 3307 Miller Ave Suite A, Fort Worth, TX 76119 2011-03-29
1063748853 Mhmr-tc Community/Behavioral Health 1200 Circle Drive Ste 400b, Ft Worth, TX 76119 2009-10-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1942654462 Damon A Cates Physician Assistant Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 2016-04-21
1790159721 Victoria Constant Physician Assistant 3701 Vision Dr Ste 101, Fort Worth, TX 76109-1184 2015-11-13
1962828871 Erika Zuniga Martinez Physician Assistant 800 7th Ave, Fort Worth, TX 76104-2704 2014-03-16
1336562883 Elizabeth Suzanne Widmer Physician Assistant 12469 Timberland Blvd Ste 501, Fort Worth, TX 76244-5216 2014-02-03
1225475536 Female Health Associates of North Texas, LLC Physician Assistant 1327 Hemphill St, Suit 100, Fort Worth, TX 76104-4735 2013-05-28
1427255330 Alhaji Mahama Mumuni Physician Assistant 3305 Miller Ave Ste B, Fort Worth, TX 76119-1956 2007-07-03
1427144518 Glenda Rose Hagman Physician Assistant 1400 S Main St Ste 406, Fort Worth, TX 76104-4913 2006-10-05
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Competitor

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City FORT WORTH
Zip Code 76119

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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