# MAXHEALTH FAMILY, INTERNAL & SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAXHEALTH MEDICAL ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285110965
- **Legal business name:** MAXHEALTH MEDICAL ASSOCIATES
- **Authorized official:** TRACY SCHRIMPF (COO)
- **Authorized official phone:** (817) 355-8000

## Contact information

- **Practice address:** 5207 HERITAGE AVE, COLLEYVILLE, TX 76034-5915
- **Practice address phone:** (817) 355-8000
- **Mailing address:** 5207 HERITAGE AVE, COLLEYVILLE, TX 76034-5915
- **Mailing address phone:** (817) 355-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/16/2018
- **Last updated:** 01/20/2020