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FORT WORTH FERTILITY NPI 1659569556


NPI Information

NPI: 1659569556
Provider Name: FORT WORTH FERTILITY
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D0988160

Address:
1800 MISTLETOE BLVD
FORT WORTH, TX
ZIP 76104
Phone: (817) 348-8145
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FORT WORTH FERTILITY 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 FERTILITY NPI is 1659569556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 MISTLETOE BLVD
FORT WORTH, TX
ZIP 76104-062
Phone: (817) 348-8145
Fax: (817) 348-8264

The provider's authorized official is Robert Alan Kaufmann .
The authorized official title is Owner and has the following contact phone number (817) 348-8145.

The CLIA number assigned to this NPI record is 45D0988160 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 3/30/2010.


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
1174400000XSpecialistM0125TEXASYes

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: 11/14/2023

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.