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DR. JOHN LICCIARDONE D.O.
NPI 1407829641
Neuromusculoskeletal Medicine & OMM in Fort Worth, TX

Active since February 08, 2006
UNTHSC PATIENT CARE CENTER, 999 MONTGOMERY, FORT WORTH, TX 76107(817) 735-2235(817) 735-2480 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Licciardone D.o. NPPES

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

DR. JOHN LICCIARDONE D.O. (NPI 1407829641) is an individual neuromusculoskeletal medicine & omm provider in Fort Worth, Texas, licensed in Texas (H3103) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1407829641
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. JOHN LICCIARDONECredential: D.O.
Location AddressUNTHSC PATIENT CARE CENTER, 999 MONTGOMERYFort Worth, TX 76107
Mailing AddressUnthsc Dept. Of Quality Management, 3500 Camp Bowie Blvd., Ead 324Fort Worth, TX 76107 · (817) 735-0170 · Fax (817) 735-0111
Phone(817) 735-2235
Fax(817) 735-2480
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMarch 4, 2008
✔ NPI 1407829641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in TX · H3103
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
UNTHSC PATIENT CARE CENTER, Fort Worth, TX 76107
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Other Identifiers 2

Medicare UPINE33306TX
Medicare ID-Type Unspecified86E318TX

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 John Licciardone's NPI number?

The NPI number for John Licciardone is 1407829641. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is John Licciardone located?

John Licciardone practices at Unthsc Patient Care Center 999 Montgomery, Fort Worth, TX 76107. The listed phone number is (817) 735-2235.

What is John Licciardone's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for John Licciardone was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.