Forth Worth Surgical Associates Pa
LBN: Forth Worth Surgical Associates Pa
Forth Worth Surgical Associates Pa is an health care organization with primary practice located at 6100 Harris Pkwy #390, Fort Worth TX 76132-4128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Forth Worth Surgical Associates Pa can be contacted via phone (817) 370-9011, or through Pettey, William Robert via phone (817) 370-9011.
Contact Information
Primary practice address
6100 Harris Pkwy #390
Fort Worth TX 76132-4128
Phone: (817) 370-9011
Fax: (817) 346-0380
Website:
Authorized official contact:
Name: Pettey, William Robert Doctor of Medicine (MD)
Phone: (817) 370-9011
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G8340 | Texas |
Profile Details
| NPI number | 1679561641 |
|---|---|
| LBN Legal business name | Forth Worth Surgical Associates Pa |
| DBA Doing business as | |
| Authorized official | Pettey, William Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Nov 28th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679561641 | NPPES |
| Other | 91159 | AMERIGROUP | |
| Other | 4254295 | AMERIGROUP |
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