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FT WORTH DIAGNOSTIC RADIOLOGY PA NPI 1578524773


NPI Information

NPI: 1578524773
Provider Name: FT WORTH DIAGNOSTIC RADIOLOGY PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1400 8TH AVE
FORT WORTH, TX
ZIP 76104
Phone: (469) 757-1000
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FT WORTH DIAGNOSTIC RADIOLOGY PA is a diagnostic radiology radiology in Fort Worth, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FT WORTH DIAGNOSTIC RADIOLOGY PA NPI is 1578524773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 8TH AVE
FORT WORTH, TX
ZIP 76104-110
Phone: (469) 757-1000

The provider's authorized official is Philip Malone .
The authorized official title is Operations Manager and has the following contact phone number (405) 321-8125.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.