Pediatric Surgical Associates Of Ft. Worth, P. A.
LBN: Pediatric Surgical Associates Of Ft. Worth, P. A.
Pediatric Surgical Associates Of Ft. Worth, P. A. is an health care organization with primary practice located at 901 7Th Ave Suite 210, Fort Worth TX 76104-2722. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty.
Pediatric Surgical Associates Of Ft. Worth, P. A. can be contacted via phone (817) 336-7881, or through Lockett, Debra via phone (817) 336-7881.
Contact Information
Primary practice address
901 7Th Ave Suite 210
Fort Worth TX 76104-2722
Phone: (817) 336-7881
Fax: (817) 336-6821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X |
Profile Details
| NPI number | 1538140710 |
|---|---|
| LBN Legal business name | Pediatric Surgical Associates Of Ft. Worth, P. A. |
| DBA Doing business as | |
| Authorized official | Lockett, Debra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jun 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538140710 | NPPES |
| Texas | MEDICAID | 112632802 | |
| Texas | MEDICAID | 112632804 | |
| Texas | Other | 4641193 |
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