IAN UNDERWOOD
NPI 1770115099
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since February 05, 2020
5204 EMMERYVILLE LN, FORT WORTH, TX 76244(682) 351-4040 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About IAN UNDERWOOD

This page provides the complete NPI Profile along with additional information for Ian Underwood, a primary care provider established in Fort Worth, Texas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1770115099 assigned on February 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1770115099 Verify this NPI
Provider Name
IAN UNDERWOOD
Gender
Male
Entity Type
Individual
Location Address
5204 EMMERYVILLE LN FORT WORTH, TX 76244
Location Phone
(682) 351-4040
Mailing Address
5204 EMMERYVILLE LN FORT WORTH, TX 76244
Is Sole Proprietor?
No
Enumeration Date
02-05-2020
Last Update Date
02-05-2020
Code Navigator

A primary care provider (PCP) like Ian Underwood sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist
Athletic Trainer

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770115099, enumerated as an "individual" on February 05, 2020.

The provider is located at 5204 EMMERYVILLE LN FORT WORTH, TX 76244 and the phone number is (682) 351-4040.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.