Fort Worth Pediatrics

LBN: Fort Worth Pediatrics
Fort Worth Pediatrics is an health care organization with primary practice located at 5708 Edwards Ranch Road , Fort Worth TX 76109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Fort Worth Pediatrics can be contacted via phone (817) 336-4040, or through Richey, Diane A via phone (817) 336-4040.

Contact Information

Primary practice address
5708 Edwards Ranch Road Fort Worth TX 76109
Phone: (817) 336-4040
Fax: (817) 336-6780
Website:
Map and Directions
Authorized official contact:
Name: Richey, Diane A
Phone: (817) 336-4040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X Texas

Profile Details

NPI number 1407808652
LBN Legal business name Fort Worth Pediatrics
DBA Doing business as
Authorized official Richey, Diane A
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jun 13th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407808652 NPPES
Texas Other 8541908 AETNA
Texas MEDICAID 130900702 AETNA
Texas Other 10001409 AETNA
Texas Other 00L72L AETNA
Texas MEDICAID 130900703 AETNA
Texas MEDICAID 130900704 AETNA

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