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FORT WORTH PERINATAL ASSOCIATES P.A. NPI 1669686937


NPI Information

NPI: 1669686937
Provider Name: FORT WORTH PERINATAL ASSOCIATES, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D2260980

Address:
1250 8TH AVE
SUITE 570
FORT WORTH, TX
ZIP 76104
Phone: (817) 332-6667
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FORT WORTH PERINATAL ASSOCIATES, P.A. is a specialist in Fort Worth, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FORT WORTH PERINATAL ASSOCIATES, P.A. NPI is 1669686937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 8TH AVE
SUITE 570
FORT WORTH, TX
ZIP 76104-146
Phone: (817) 332-6667
Fax: (817) 546-0946

The provider's authorized official is Dani Hurtado .
The authorized official title is Office Manager and has the following contact phone number (817) 332-6667.

The CLIA number assigned to this NPI record is 45D2260980 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/23/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1159572001MEDICAIDTEXAS
2131688707MEDICAIDTEXAS
3G28742MEDICARE UPINTEXAS
4159573801MEDICAIDTEXAS
500400VMEDICARE PINTEXAS
6D86934MEDICARE UPINTEXAS

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

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