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FORT WORTH PROCTOLOGIC CLINIC, PA
NPI 1710217435
Specialist in Fort Worth, TX

Active since December 31, 2009
1050 W ROSEDALE ST, FORT WORTH, TX 76104(817) 338-4501(817) 338-4503 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Worth Proctologic Clinic, Pa NPPES

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

FORT WORTH PROCTOLOGIC CLINIC, PA (NPI 1710217435) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since December 2009. The organization lists Sommai Sehapayak, Owner, as its authorized official.

NPPES Registry Identity

NPI1710217435
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFORT WORTH PROCTOLOGIC CLINIC, PA
Location Address1050 W ROSEDALE STFort Worth, TX 76104-4422
Mailing Address1050 W Rosedale StFort Worth, TX 76104-4422 · (817) 338-4501 · Fax (817) 338-4503
Phone(817) 338-4501
Fax(817) 338-4503
Organization SubpartNo
Authorized OfficialSommai SehapayakOwner · (817) 338-4501
Enumeration DateDecember 31, 2009
✔ NPI 1710217435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · E1124
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.
1050 W ROSEDALE ST, Fort Worth, TX 76104
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Other Identifiers 2

Medicaid099907001TX
Medicare UPIN00R361TX

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 3

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

TOLULOPE IBIRONKE AFOLABI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1050 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (682) 361-7750
SOMMAI SEHAPAYAK MD
Colon & Rectal Surgery
1050 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 338-4501
WALGREEN CO
Pharmacy
1050 W ROSEDALE ST, STE 100
FORT WORTH, TX 76104
Tarrant County (682) 316-7750

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 Proctologic Clinic, PA's NPI number?

The NPI number for Fort Worth Proctologic Clinic, PA is 1710217435. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Fort Worth Proctologic Clinic, PA located?

Fort Worth Proctologic Clinic, PA is located at 1050 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (817) 338-4501.

What is Fort Worth Proctologic 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 Proctologic Clinic, PA was last updated on December 31, 2009. 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.