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FORT WORTH PEDIATRICS
NPI 1710219795
Pediatrics - Adolescent Medicine in Fort Worth, TX

Active since February 02, 2010
1108 S HENDERSON ST, FORT WORTH, TX 76104(817) 335-3255(817) 338-9563 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Worth Pediatrics NPPES

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

FORT WORTH PEDIATRICS (NPI 1710219795) is a healthcare organization registered as an adolescent medicine in Fort Worth, Texas and active in the NPI registry since February 2010. The organization lists Diane Richey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710219795
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameFORT WORTH PEDIATRICS
Location Address1108 S HENDERSON STFort Worth, TX 76104-4430
Mailing Address1108 S Henderson StFort Worth, TX 76104-4430 · (817) 335-3255 · Fax (817) 338-9563
Phone(817) 335-3255
Fax(817) 338-9563
Organization SubpartNo
Authorized OfficialDiane RicheyAdministrator · (817) 336-4040
Enumeration DateFebruary 2, 2010
✔ NPI 1710219795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1108 S HENDERSON ST, Fort Worth, TX 76104
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Other Identifiers 1

Medicaid130900703TX

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 10

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

DAPHNE NIZZA SHAW M.D.
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
ROBERT MITCHELL READINGER MD
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
RAMIRO D. CAVAZOS M.D.
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
GARY B STRONG MD
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (682) 885-3255
DR. RACHEL GAMBULOS HAMILTON M.D.
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
R.L.STINSON JONES M.D.
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
WILLIAM B. SCROGGIE M.D.
Pediatrics (Adolescent Medicine)
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255
MONICA MILIND PRADHAN M.D.
Pediatrics
1108 S HENDERSON ST
FORT WORTH, TX 76104
Tarrant County (817) 335-3255

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 Pediatrics's NPI number?

The NPI number for Fort Worth Pediatrics is 1710219795. It was assigned to this organization in the NPPES registry on February 2, 2010.

Where is Fort Worth Pediatrics located?

Fort Worth Pediatrics is located at 1108 S Henderson St, Fort Worth, TX 76104. The listed phone number is (817) 335-3255.

What is Fort Worth Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Fort Worth Pediatrics was last updated on February 2, 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.