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ALLIANCE PRIMARY CARE ASSOC PLLC NPI 1912260506


NPI Information

NPI: 1912260506
Provider Name: ALLIANCE PRIMARY CARE ASSOC PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
12461 TIMBERLAND BLVD
SUITE 309
FORT WORTH, TX
ZIP 76244
Phone: (817) 741-5437
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ALLIANCE PRIMARY CARE ASSOC PLLC 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. ALLIANCE PRIMARY CARE ASSOC PLLC NPI is 1912260506. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12461 TIMBERLAND BLVD
SUITE 309
FORT WORTH, TX
ZIP 76244-213
Phone: (817) 741-5437
Fax: (817) 431-5870

The provider's authorized official is Bruce Martin .
The authorized official title is Ceo and has the following contact phone number (817) 741-5437.

The enumeration date for this NPI number is 6/19/2012 and was last updated on 8/16/2016.


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
1208000000XPediatricsL8824TEXASYes

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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