PETYA TASKOV


Address: 1350 S Main St, Suite 306, Fort Worth, TX 76104-7611
Phone: 8177024523

PETYA TASKOV (NPI# 1609257534) 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) 1609257534
Entity Type Individual
Full Name PETYA TASKOV
Practice Address 1350 S Main St
Suite 306
Fort Worth
TX 76104-7611
Mailing Address 1617 Hemphill St
Fort Worth
TX 76104-4709
Practice Telephone 8177024523
Mailing Telephone 8177023381
Enumeration Date 2015-06-16
Last Update Date 2015-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP 128272 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1350 S MAIN ST
SUITE 306
City FORT WORTH
State TX
Zip Code 76104-7611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831638980 Daphne Rene Jones Nurse Practitioner 1350 S Main St, Ste 1250, Fort Worth, TX 76104-7611 2017-02-21
1679027759 Esther Fasanmi Pharmacist 1350 S Main St, Suite 1600, Fort Worth, TX 76104-7611 2016-08-07
1295053072 Mandeep S Matta Internal Medicine 1350 S Main St, Fort Worth, TX 76104-7611 2010-05-04
1144428558 Esmeralda Lorna Howard Nurse Practitioner 1350 S Main St, Suite # 3200, Fort Worth, TX 76104-7611 2007-07-06
1699893040 Phillip H Skinner Md Pa Ophthalmology 1350 S Main St, Ste 110, Fort Worth, TX 76104 2007-03-26
1992838726 Phillip Howard Skinner Ophthalmology 1350 S Main St, #1100, Fort Worth, TX 76104 2007-03-13
1730228727 Robin Mckelvey Internal Medicine 1350 S Main St, Suite 1600, Fort Worth, TX 76104-7611 2007-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556341 Sarah R Tabor Nurse Practitioner 4819 El Campo Ave, Fort Worth, TX 76107-4917 2020-10-21
1336747963 Thomas Liles Nurse Practitioner 4 Carlson Ct, Fort Worth, TX 76119-5901 2020-10-15
1518565597 Khyatiben Harsh Parikh Nurse Practitioner 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 2020-10-13
1225645906 Manju Karki K C Nurse Practitioner 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 2020-09-28
1497361778 Mulikat Dossou Nurse Practitioner 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 2020-09-22
1275148793 Bianca Adrianna Agnello Nurse Practitioner 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 2020-09-11
1356955363 Alba C. Rivas Nurse Practitioner 6958 Legato Ln, Fort Worth, TX 76134-3727 2020-09-07
1043824139 Traci D Huff Nurse Practitioner 7121 Sundance Ln, Fort Worth, TX 76179-2533 2020-09-04
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1619589108 Megan King Nurse Practitioner 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 2020-08-18
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Competitor

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City FORT WORTH
Zip Code 76104

Improve Information

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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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