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TOTS AND TYKES PEDIATRICS PA NPI 1841207727


NPI Information

NPI: 1841207727
Provider Name: TOTS AND TYKES PEDIATRICS PA

Other Name: PROFESSIONAL ASSOCIATION

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2071373

Address:
1500 OAKLAND PL
FORT WORTH, TX
ZIP 76103
Phone: (817) 652-3395
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TOTS AND TYKES PEDIATRICS PA is a pediatrics in Fort Worth, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TOTS AND TYKES PEDIATRICS PA NPI is 1841207727. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Professional Association.

The provider's business location address is:

1500 OAKLAND PL
FORT WORTH, TX
ZIP 76103-550
Phone: (817) 652-3395
Fax: (817) 263-8878

The provider's authorized official is Raymund Mart Poquiz .
The authorized official title is President and has the following contact phone number (817) 652-3395.

The CLIA number assigned to this NPI record is 45D2071373 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/9/2012.


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
1208000000XPediatricsYes

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
1168720401MEDICAIDTEXAS
2G70058MEDICARE UPIN

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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