AMBASSADOR PHYSICIAN GROUP LLC
NPI 1598856551
Nurse Practitioner - Gerontology in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

Active since September 27, 2006

6100 HARRIS PKWY, SUITE 250, FORT WORTH, TX 76132(817) 433-5179(817) 433-5177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ambassador Physician Group Llc NPPES

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

AMBASSADOR PHYSICIAN GROUP LLC (NPI 1598856551) is a healthcare organization registered as a gerontology in Fort Worth, Texas and active in the NPI registry since September 2006. The organization lists Christopher David Cain, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1598856551

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameAMBASSADOR PHYSICIAN GROUP LLC

Location Address6100 HARRIS PKWY, SUITE 250Fort Worth, TX 76132-4101

Mailing Address6100 Harris Pkwy, Suite 250Fort Worth, TX 76132-4101 · (817) 433-5179 · Fax (817) 433-5177

Phone(817) 433-5179

Fax(817) 433-5177

Organization SubpartNo

Authorized OfficialChristopher David CainChief Operating Officer · (817) 975-4539

Enumeration DateSeptember 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1598856551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · 363LG0600X

6100 HARRIS PKWY, Fort Worth, TX 76132

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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 SINGLE SPECIALTY GROUP