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:
Map and Directions
Authorized official contact:
Name: Lockett, Debra
Phone: (817) 336-7881

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140710 NPPES
Texas MEDICAID 112632802
Texas MEDICAID 112632804
Texas Other 4641193

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