| Dr James T Park, APRN,FNP-C,DC | |
|
904 Lexington St, Fort Worth, TX 76102-3550 | |
| (817) 335-2666 | |
| (817) 335-2669 |
| Full Name | Dr James T Park |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 904 Lexington St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881604395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1111605 (Texas) | Primary |
| 111N00000X | Chiropractor | 6892 (Texas) | Secondary |
| Entity Name | Latch D, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801443361 PECOS PAC ID: 7012449812 Enrollment ID: O20241017003667 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James T Park, APRN,FNP-C,DC 904 Lexington St, Fort Worth, TX 76102-3550 Ph: (817) 335-2666 | Dr James T Park, APRN,FNP-C,DC 904 Lexington St, Fort Worth, TX 76102-3550 Ph: (817) 335-2666 |
Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287 |
Annette Diane Williamson, ARNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2205 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-328-3320 Fax: 817-328-3325 |
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521 |
Elisa Martinez Morrison, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1711 Doolittle Ave, Fort Worth, TX 76127 Phone: 817-782-6223 |
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727 |
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |
Mrs. Anjanette Ostrom, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-433-5977 Fax: 817-433-5989 |