PLANNED PARENTHOOD OF NORTH TEXAS - SOUTHEAST HEALTH SERVICES (NPI# 1760633887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760633887 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF NORTH TEXAS - SOUTHEAST HEALTH SERVICES |
| Practice Address |
3863 Miller Ave Fort Worth TX 76119-2965 |
| Mailing Address |
7424 Greenville Ave Ste 206 Dallas TX 75231-4534 |
| Practice Telephone | 8175364942 |
| Practice Fax Number | 8175366205 |
| Mailing Telephone | 2143632004 |
| Mailing Fax Number | 2146962091 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | BETH WATSON (VICE PRESIDENT OF CLINIC OPERATIONS) |
| Authorized Official Telephone | 2143632004 |
| Is Organization Subpart | Y |
| Parent Organization Name | PLANNED PARENTHOOD OF NORTH TEXAS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1364812-14 | 05 |
| Street Address |
3863 MILLER AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-2965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477094811 | Chelsea Eide | Nurse Practitioner | 3863 Miller Ave, Fort Worth, TX 76119-2965 | 2017-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 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 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 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 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225399934 | Planned Parenthood of Greater Texas Family Planning Services | Clinic/Center | 6464 John Ryan Drive, Ste. B, Fort Worth, TX 76132 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821552456 | Texas Kidz Hope Inc | Clinic/Center | 1202 Lark Ln, Richmond, TX 77469-7433 | 2019-01-28 |
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1922593250 | Austin Lifecare | Clinic/Center | 8401 N Ih 35 Bldg 2, Austin, TX 78753-5751 | 2018-06-28 |
| 1497263883 | Access Esperanza Clinics Inc. | Clinic/Center | 400 N Border Ave, Weslaco, TX 78596-5103 | 2018-01-19 |
| 1093261620 | Pregnancy Assistance Center North | Clinic/Center | 26464 Interstate 45 North, Spring, TX 77386 | 2016-09-01 |
| 1053787028 | Birthing Spot and Wellness Center | Clinic/Center | 116 N Norwich Ave, Lubbock, TX 79416-3730 | 2015-08-13 |
| 1720327182 | Baylor College of Medicine Teen Health Clinic | Clinic/Center | 2950 Broadway St, Houston, TX 77017-1706 | 2013-02-05 |
| 1013278290 | Planned Parenthood of Greater Texas Inc - Shelburne | Clinic/Center | 9100 N Central Expy, Ste 169, Dallas, TX 75231-5922 | 2012-06-04 |
| 1356602775 | Planned Parenthood of Greatertexas, Inc - Denton | Clinic/Center | 2436 S Ih 35e, #340, Denton, TX 76205 | 2012-06-01 |
| 1861753279 | Planned Parenthood of Greater Texas Inc. -cedar Hill | Clinic/Center | 140 Fm Road 1382, Ste 160, Cedar Hill, TX 75104 | 2012-06-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on PLANNED PARENTHOOD OF NORTH TEXAS - SOUTHEAST HEALTH SERVICES.
| 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.