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WATAUGA FAMILY PRACTICE PA NPI 1740369073


NPI Information

NPI: 1740369073
Provider Name: WATAUGA FAMILY PRACTICE PA

Doing Business As: NORTH TARRANT FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0929686

Address:
5445 BASSWOOD BLVD
SUITE 650
FORT WORTH, TX
ZIP 76137
Phone: (817) 485-0161
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WATAUGA FAMILY PRACTICE PA is a family medicine in Fort Worth, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WATAUGA FAMILY PRACTICE PA NPI is 1740369073. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Tarrant Family Practice.

The provider's business location address is:

5445 BASSWOOD BLVD
SUITE 650
FORT WORTH, TX
ZIP 76137-437
Phone: (817) 485-0161
Fax: (817) 485-9430

The provider's authorized official is Robert Allan Hodgson .
The authorized official title is President and has the following contact phone number (817) 485-0161.

The CLIA number assigned to this NPI record is 45D0929686 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 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
1207Q00000XFamily MedicineG2993TEXASYes

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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