FORT WORTH PEDIATRICS P.A. NPI 1760502835

NPI Information

  • NPI: 1760502835
  • Provider Name: FORT WORTH PEDIATRICS, P.A.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 6401 HARRIS PKWY
    SUITE100
    FORT WORTH, TX
    ZIP 76132
  • Phone: (817) 346-2525

Map and Directions

Get Directions

NPI Details

FORT WORTH PEDIATRICS, P.A. 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, P.A. NPI is 1760502835. 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
SUITE100
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 3/30/2007 and was last updated on 6/14/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineTEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110001409OTHERTEXASAMERIGROUP
2130900705MEDICAIDTEXAS
300L72LOTHERTEXASBCBS
48541908OTHERTEXASAETNA
5130900702MEDICAIDTEXAS

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI