FORT WORTH ENT, PA
NPI 1336353366
Specialist in Fort Worth, TX

Active since May 09, 2007
1250 8TH AVE, SUITE 135, FORT WORTH, TX 76104(817) 335-8151(817) 335-2670 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fort Worth Ent, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WORTH ENT, PA (NPI 1336353366) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since May 2007. The organization lists Vicky L. Vanvleck, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1336353366
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFORT WORTH ENT,P.A.
Location Address1250 8TH AVE, SUITE 135Fort Worth, TX 76104
Mailing Address1250 8th Ave, Suite 135Fort Worth, TX 76104 · (817) 335-8151 · Fax (817) 335-2670
Fax(817) 335-2670
Organization SubpartNo
Authorized OfficialVicky L. VanvleckPractice Manager · (817) 335-8151
Enumeration DateMay 9, 2007
Last NPPES UpdateJanuary 24, 2011
NPI 1336353366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in TX · H2007 Licensed in TX · L4150
Definition
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.
1250 8TH AVE, Fort Worth, TX 76104

Other Names 1

Doing Business AsFort Worth Ent, Pa

Other Identifiers 9

Other8G2131TX · Todd E. Samuelson Md Bcbs
OtherH2007TX · Todd E Samuelson Md Licen
Medicare PIN8K1145TX
Medicare UPINH58176TX
Medicare UPIND67714TX
Medicaid031074002TX
Medicare ID-Type Unspecified8A1828TX · Todd E. Samuelson Md
Medicaid166927701TX
Medicare PIN8L17055TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Transplant Hepatology)
1250 8TH AVE, SUITE 515
FORT WORTH, TX 76104
Clinical Medical Laboratory
1250 8TH AVE, SUITE 365
FORT WORTH, TX 76104
Nurse Practitioner (Adult Health)
1250 8TH AVE, SUITE 515
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
1250 8TH AVE, #130
FORT WORTH, TX 76104
Obstetrics & Gynecology (Gynecology)
1250 8TH AVE, SUITE 540
FORT WORTH, TX 76104
Pharmacy (Community/Retail Pharmacy)
1250 8TH AVE, STE 125
FORT WORTH, TX 76104
Clinic/Center
1250 8TH AVE, SUITE 540
FORT WORTH, TX 76104
Internal Medicine (Nephrology)
1250 8TH AVE, SUITE 500
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Worth Ent,p.A.'s NPI number?

The NPI number for Fort Worth Ent,p.A. is 1336353366. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Fort Worth Ent, PA.

Where is Fort Worth Ent,p.A. located?

Fort Worth Ent,p.A. is located at 1250 8th Ave Suite 135, Fort Worth, TX 76104. The listed phone number is (817) 335-8151.

What is Fort Worth Ent,p.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fort Worth Ent,p.A. was last updated on January 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.