FORT WORTH PEDIATRICS NPI 1629300603

NPI Information

FORT WORTH PEDIATRICS is an adolescent medicine pediatrics in Fort Worth, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. FORT WORTH PEDIATRICS NPI is 1629300603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6401 HARRIS PKWY
SUITE 100
FORT WORTH, TX
ZIP 76132-101
Phone: (817) 346-2525
Fax: (817) 294-1692

The provider's authorized official is Diane Richey .
The authorized official title is Administrator and has the following contact phone number (817) 336-4040.

The enumeration date for this NPI number is 2/2/2010 and was last updated on 6/15/2011.

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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