FORT WORTH DIAGNOSTIC CLINIC PA
NPI 1669665774
Specialist in Fort Worth, TX

Q: What is Fort Worth Diagnostic Clinic PA's NPI number?

The NPI number for Fort Worth Diagnostic Clinic PA is 1669665774. It was assigned to this organization in the NPPES registry on August 22, 2007.

Q: What is Fort Worth Diagnostic Clinic PA's specialty?

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

Active since August 22, 2007

1650 W ROSEDALE ST STE 100, FORT WORTH, TX 76104(817) 338-1131(817) 877-1511 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Fort Worth Diagnostic Clinic Pa NPPES

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

FORT WORTH DIAGNOSTIC CLINIC PA (NPI 1669665774) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since August 2007. The organization lists Paul Jay Goldman, Physician, as its authorized official.

NPPES Registry Identity

NPI1669665774

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameFORT WORTH DIAGNOSTIC CLINIC PA

Location Address1650 W ROSEDALE ST STE 100Fort Worth, TX 76104-7400

Mailing Address1650 W Rosedale St Ste 100Fort Worth, TX 76104-7400 · (817) 338-1131 · Fax (817) 877-1511

Phone(817) 338-1131

Fax(817) 877-1511

Organization SubpartNo

Authorized OfficialPaul Jay GoldmanPhysician · (817) 338-1131

Enumeration DateAugust 22, 2007

Last NPPES UpdateMarch 17, 2015

✔ NPI 1669665774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · E8262

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.

1650 W ROSEDALE ST STE 100, Fort Worth, TX 76104

Open in Google Maps ↗

Other Identifiers 3

Medicare PIN87T873TX

Medicare UPINC16203TX

Medicaid083588601TX

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

Other Providers at the Same Location NPPES

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

DR. PAUL JAY GOLDMAN M.D.

Emergency Medicine

1650 W ROSEDALE ST STE 100
FORT WORTH, TX 76104

Tarrant County (817) 338-1131

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 Diagnostic Clinic PA's NPI number?

The NPI number for Fort Worth Diagnostic Clinic PA is 1669665774. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Fort Worth Diagnostic Clinic PA located?

Fort Worth Diagnostic Clinic PA is located at 1650 W Rosedale St Ste 100, Fort Worth, TX 76104. The listed phone number is (817) 338-1131.

What is Fort Worth Diagnostic Clinic PA'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 Diagnostic Clinic PA was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.