PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH P. A. NPI 1538140710

NPI Information

PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A. is a pediatric surgery surgery in Fort Worth, TX. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A. NPI is 1538140710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 7TH AVE
SUITE 210
FORT WORTH, TX
ZIP 76104-722
Phone: (817) 336-7881
Fax: (817) 336-6821

The provider's authorized official is Debra Lockett .
The authorized official title is Administrator and has the following contact phone number (817) 336-7881.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 6/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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