Kraig R Pepper Do Pa

LBN: Premier Orthopedics Of Fort Worth, Pa
Kraig R Pepper Do Pa is an health care organization with primary practice located at 6930 Harris Pkwy Ste 130 , Fort Worth TX 76132-4272. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Premier Orthopedics Of Fort Worth, Pa can be contacted via phone (817) 632-0020, or through Manning, Sonja via phone (817) 632-0020.

Contact Information

Primary practice address
6930 Harris Pkwy Ste 130 Fort Worth TX 76132-4272
Phone: (817) 632-0020
Fax: (817) 632-0022
Website:
Map and Directions
Authorized official contact:
Name: Manning, Sonja
Phone: (817) 632-0020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1851652457
LBN Legal business name Premier Orthopedics Of Fort Worth, Pa
DBA Doing business as Kraig R Pepper Do Pa
Authorized official Manning, Sonja
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2012
Last updated May 28th, 2024 - about last year

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 1851652457 NPPES
Texas MEDICAID 203808502
Texas MEDICAID 308841101

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