Fort Worth Pediatrics

LBN: Fort Worth Pediatrics
Fort Worth Pediatrics is an health care organization with primary practice located at 1108 S Henderson St , Fort Worth TX 76104-4430. 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) 335-3255, or through Richey, Diane via phone (817) 336-4040.

Contact Information

Primary practice address
1108 S Henderson St Fort Worth TX 76104-4430
Phone: (817) 335-3255
Fax: (817) 338-9563
Website:
Map and Directions
Authorized official contact:
Name: Richey, Diane
Phone: (817) 336-4040

Health care specialties

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

Profile Details

NPI number 1710219795
LBN Legal business name Fort Worth Pediatrics
DBA Doing business as
Authorized official Richey, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2010
Last updated Feb 2nd, 2010 - about 15 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 1710219795 NPPES
Texas MEDICAID 130900703

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