Fort Worth Surgical Specialist, Pa

LBN: Tess, Pa
Fort Worth Surgical Specialist, Pa is an health care organization with primary practice located at 1325 Pennsylvania Ave Suite 200, Fort Worth TX 76104-2158. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Tess, Pa can be contacted via phone (817) 332-9957, or through Carr, Christian L via phone (817) 877-5871.

Contact Information

Primary practice address
1325 Pennsylvania Ave Suite 200 Fort Worth TX 76104-2158
Phone: (817) 332-9957
Fax: (817) 336-3130
Website:
Map and Directions
Authorized official contact:
Name: Carr, Christian L Doctor of Medicine (MD)
Phone: (817) 877-5871

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1124070750
LBN Legal business name Tess, Pa
DBA Doing business as Fort Worth Surgical Specialist, Pa
Authorized official Carr, Christian L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 31st, 2011 - about 14 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 1124070750 NPPES
Texas MEDICAID 154666501

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