THIRD EYE WOUND CARE, PLLC (NPI# 1770030587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770030587 |
Entity Type | Organization |
Organization Name | THIRD EYE WOUND CARE, PLLC |
Practice Address |
3437 W 7th St Fort Worth TX 76107-2718 |
Practice Telephone | 8176881588 |
Practice Fax Number | 8174237361 |
Mailing Telephone | 8176881588 |
Mailing Fax Number | 8174237361 |
Enumeration Date | 2016-09-09 |
Last Update Date | 2016-09-09 |
Authorized Official Name | DR. MARK ALLEN SANDERS (PRESIDENT, CEO) |
Authorized Official Telephone | 8176881588 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
K9653 | TX | Allopathic & Osteopathic Physicians |
N | 209800000X | Legal Medicine | K9653 | TX | Allopathic & Osteopathic Physicians |
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
K9653 | TX | Allopathic & Osteopathic Physicians |
Street Address |
3437 W 7TH ST |
City | FORT WORTH |
State | TX |
Zip Code | 76107-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770544389 | Mark Allen Sanders | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2006-03-31 |
1336696087 | Third Eye After Hours, Pllc | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2016-09-09 |
1548661713 | Gerination Medical Centers, LLC | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2014-09-08 |
1366869513 | Ronald Maclean Palmer | Nurse Practitioner | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2014-03-26 |
1497787873 | Kelly Damon Grimes | Family Medicine | 3437 W 7th St, Suite 210, Fort Worth, TX 76107-2718 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760625529 | Total Lung Center, Inc. | Family Medicine | 1600 E Rosedale St, Fort Worth, TX 76104-5637 | 2009-04-09 |
1689790636 | James Michael Russell | Family Medicine | 6300 Troon Rd, Fort Worth, TX 76132-4426 | 2007-03-21 |
1578534541 | A Ray Lewis Do Pa | Family Medicine | 4732 E. Lancaster St, Fort Worth, TX 76103-3836 | 2006-01-30 |
1558331066 | Meta Medical Services Pa | Family Medicine | 4732 E Lancaster Ave Ste B, Fort Worth, TX 76103-3836 | 2006-01-25 |
1336696087 | Third Eye After Hours, Pllc | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2016-09-09 |
1306232509 | Saamia Ahmed | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107 | 2015-04-14 |
1548661713 | Gerination Medical Centers, LLC | Family Medicine | 3437 W 7th St, Fort Worth, TX 76107-2718 | 2014-09-08 |
1023209525 | Kim Elizabeth Higgins | Family Medicine | 1305 W Magnolia Ave, Suite B, Fort Worth, TX 76104-4351 | 2007-08-08 |
1417152000 | Jennifer Thompson Arnouville | Family Medicine | 5450 Clearfork Main St Ste 300, Fort Worth, TX 76109-3559 | 2007-06-15 |
1609097294 | Janet Lieto | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2007-05-01 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76107 |
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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.