Heart and Soul Medical PA
NPI 1336975903ActiveOrganization· Nurse Practitioner, Primary Care· Fort Worth, TX
Nurse Practitioner, Primary Care in Fort Worth, Texas, registered in NPPES in September 2024. The authorized official on file is Taylor Carol, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336975903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2024 |
| Last updated in NPPES | Sep 11, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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