PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A.
NPI 1538140710
Surgery - Pediatric Surgery in Fort Worth, TX

Active since November 07, 2005
901 7TH AVE, SUITE 210, FORT WORTH, TX 76104(817) 336-7881(817) 336-6821 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pediatric Surgical Associates Of Ft. Worth, P. A. NPPES

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

PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A. (NPI 1538140710) is a healthcare organization registered as a pediatric surgery in Fort Worth, Texas and active in the NPI registry since November 2005. The organization lists Debra Lockett, Administrator, as its authorized official.

NPPES Registry Identity

NPI1538140710
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A.
Location Address901 7TH AVE, SUITE 210Fort Worth, TX 76104-2722
Mailing Address901 7th Ave, Suite 210Fort Worth, TX 76104-2722 · (817) 336-7881 · Fax (817) 336-6821
Fax(817) 336-6821
Organization SubpartNo
Authorized OfficialDebra LockettAdministrator · (817) 336-7881
Enumeration DateNovember 7, 2005
Last NPPES UpdateJune 17, 2010
✔ NPI 1538140710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
901 7TH AVE, Fort Worth, TX 76104

Other Identifiers 4

Medicaid112632802TX
Other4641193TX · Aetna
Medicare UPIN0A5693TX
Medicaid112632804TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Psychologist
901 7TH AVE
FORT WORTH, TX 76104
Otolaryngology (Pediatric Otolaryngology)
901 7TH AVE
FORT WORTH, TX 76104
Nurse Practitioner (Pediatrics)
901 7TH AVE
FORT WORTH, TX 76104
Psychiatry & Neurology (Psychiatry)
901 7TH AVE
FORT WORTH, TX 76104
Nurse Practitioner (Pediatrics)
901 7TH AVE, STE 220
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
901 7TH AVE
FORT WORTH, TX 76104
Otolaryngology (Pediatric Otolaryngology)
901 7TH AVE
FORT WORTH, TX 76104
Nurse Practitioner (Pediatrics)
901 7TH AVE, STE 220
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 Pediatric Surgical Associates Of Ft. Worth, P. A.'s NPI number?

The NPI number for Pediatric Surgical Associates Of Ft. Worth, P. A. is 1538140710. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is Pediatric Surgical Associates Of Ft. Worth, P. A. located?

Pediatric Surgical Associates Of Ft. Worth, P. A. is located at 901 7th Ave Suite 210, Fort Worth, TX 76104. The listed phone number is (817) 336-7881.

What is Pediatric Surgical Associates Of Ft. Worth, P. A.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

What insurance does Pediatric Surgical Associates Of Ft. Worth, P. A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and WellPoint list Pediatric Surgical Associates Of Ft. Worth, P. A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Surgical Associates Of Ft. Worth, P. A. was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.