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ALLIANCE PEDIATRICS
NPI 1689922627
Pediatrics in Fort Worth, TX

Active since August 23, 2012
4400 HERITAGE TRACE PKWY, SUITE 208, FORT WORTH, TX 76244(817) 741-5437(888) 400-5412 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alliance Pediatrics NPPES

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

ALLIANCE PEDIATRICS (NPI 1689922627) is a healthcare organization registered as a pediatrics in Fort Worth, Texas and active in the NPI registry since August 2012. The organization lists Bruce David Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1689922627
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameALLIANCE HERITAGE TRACE PLLC
Location Address4400 HERITAGE TRACE PKWY, SUITE 208Fort Worth, TX 76244-8901
Mailing Address12461 Timberland Blvd, Suite 309Fort Worth, TX 76244-5213 · (817) 741-5437 · Fax (888) 400-5412
Phone(817) 741-5437
Fax(888) 400-5412
Organization SubpartNo
Authorized OfficialBruce David MartinOwner · (817) 741-5437
Enumeration DateAugust 23, 2012
Last NPPES UpdateOctober 10, 2012
✔ NPI 1689922627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L8824
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4400 HERITAGE TRACE PKWY, Fort Worth, TX 76244
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Other Names 1

Doing Business AsAlliance Pediatrics

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2044869

Alliance Primary Care, PLLC Dba Alliance Pediatrics · Fort Worth, TX
Expired · Aug 1, 2026
CLIA Number45D2044869
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorBruce D. Martin
Laboratory Phone(817) 741-5437
Laboratory LocationAlliance Primary Care, PLLC Dba Alliance Pediatrics9445 N Beach St, Fort Worth, TX 76244
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

FRANK HOANG STONE GLEN DENTAL CARE, PA
Dentist
4400 HERITAGE TRACE PKWY, STE #212
FORT WORTH, TX 76244
Tarrant County (817) 482-1400
RDFW, LLC
General Practice
4400 HERITAGE TRACE PKWY, SUITE 204
FORT WORTH, TX 76244
Tarrant County (214) 494-8121
STONE GLEN DENTAL CARE PLLC
Dentist
4400 HERITAGE TRACE PKWY, STE 212
FORT WORTH, TX 76244
Tarrant County (817) 482-1400
DR. KATHERINE ANN GHANAYEM M.D.
Pediatrics
4400 HERITAGE TRACE PKWY
FORT WORTH, TX 76244
Tarrant County (701) 471-9606
FRANK HOANG STONE GLEN DENTAL CARE, PA
Dentist (General Practice)
4400 HERITAGE TRACE PKWY, STE # 212
FORT WORTH, TX 76244
Tarrant County (817) 482-1400
MARIA M DOWDEN ACNPC-AG
Nurse Practitioner (Acute Care)
4400 HERITAGE TRACE PKWY
FORT WORTH, TX 76244
Tarrant County (817) 380-1087

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 Alliance Heritage Trace PLLC's NPI number?

The NPI number for Alliance Heritage Trace PLLC is 1689922627. It was assigned to this organization in the NPPES registry on August 23, 2012. The provider is doing business as Alliance Pediatrics.

Where is Alliance Heritage Trace PLLC located?

Alliance Heritage Trace PLLC is located at 4400 Heritage Trace Pkwy Suite 208, Fort Worth, TX 76244. The listed phone number is (817) 741-5437.

What is Alliance Heritage Trace PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Alliance Heritage Trace PLLC was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.