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ATIVA HEALTH CENTER LLC
NPI 1659688406
Family Medicine in Fort Worth, TX

Active since August 31, 2010
3510 E LANCASTER AVE, SUITE B, FORT WORTH, TX 76103(817) 536-0219(817) 536-0311 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ativa Health Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATIVA HEALTH CENTER LLC (NPI 1659688406) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since August 2010. The organization lists Yulia Polikhova, Owner, as its authorized official.

NPPES Registry Identity

NPI1659688406
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATIVA HEALTH CENTER LLC
Location Address3510 E LANCASTER AVE, SUITE BFort Worth, TX 76103-2555
Mailing Address3510 E Lancaster Ave, Suite BFort Worth, TX 76103-2555 · (817) 536-0219 · Fax (817) 536-0311
Phone(817) 536-0219
Fax(817) 536-0311
Organization SubpartNo
Authorized OfficialYulia PolikhovaOwner · (817) 536-0219
Enumeration DateAugust 31, 2010
✔ NPI 1659688406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3510 E LANCASTER AVE, Fort Worth, TX 76103
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

R&S INVESTMENT GROUP
Assisted Living Facility
3510 E LANCASTER AVE, SUITE B
FORT WORTH, TX 76103
Tarrant County (214) 517-3490
ROBERT LITTLE
Case Manager/Care Coordinator
3510 E LANCASTER AVE, SUITE B
FORT WORTH, TX 76103
Tarrant County (214) 517-3490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ativa Health Center LLC's NPI number?

The NPI number for Ativa Health Center LLC is 1659688406. It was assigned to this organization in the NPPES registry on August 31, 2010.

Where is Ativa Health Center LLC located?

Ativa Health Center LLC is located at 3510 E Lancaster Ave Suite B, Fort Worth, TX 76103. The listed phone number is (817) 536-0219.

What is Ativa Health Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ativa Health Center LLC was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.