Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ativa Health Center LLC

Organization Family Medicine Physician · NPI 1659688406

Ativa Health Center LLC is a Family Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3510 E Lancaster Ave Ste B
Fort Worth, TX 76103-2555
Phone: (817) 536-0219
Fax: (817) 536-0311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1659688406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yulia Polikhova — Owner · (817) 536-0219
NPI enumeratedAugust 31, 2010
Last updated in NPPESAugust 31, 2010
Mailing address3510 E Lancaster Ave, Suite B, Fort Worth, TX 76103-2555

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