Fort Worth Pediatrics, P.a.

NPI 1760502835 - Pediatrics - 2080A0000X

NPI Details
NPI 1760502835
Enumeration Date 03/30/2007
Last Updated 06/14/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANE DIANE
Position ADMINISTRATOR
Phone (817) 346-2525
Fax (817) 294-1692
Practice Location
6401 HARRIS PKWY
SUITE100
FORT WORTH TX, 76132-6101, US
Phone (817) 346-2525
Fax (817) 294-1692
Business Location
5708 EDWARDS RANCH ROAD
FORT WORTH TX, 76109, US
Phone (817) 336-4040
Fax (817) 336-6780
Toxanomy
Taxonomy Code 2080A0000X
License State
License Number
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According to our database, Fort Worth Pediatrics, P.a. NPI is 1760502835, taxonomy code is 2080A0000X Fort Worth Pediatrics, P.a. physically located at 6401 Harris Pkwy, Fort Worth TX, 76132-6101. NPI Number 1033115704 has the healthcare provider type.

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1760502835 NPI number is provided on an as is basis without warranty of any kind. 1760502835 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Pediatrics, P.a. are for informational purposes only.