NORTH TARRANT FAMILY PRACTICE
NPI 1740369073
Family Medicine in Fort Worth, TX

Active since November 06, 2006CLIA 45D0929686 · Waiver
5445 BASSWOOD BLVD, SUITE 650, FORT WORTH, TX 76137(817) 485-0161(817) 485-9430 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Tarrant Family Practice NPPES

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

NORTH TARRANT FAMILY PRACTICE (NPI 1740369073) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Robert Allan Hodgson, President, as its authorized official.

NPPES Registry Identity

NPI1740369073
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWATAUGA FAMILY PRACTICE PA
Location Address5445 BASSWOOD BLVD, SUITE 650Fort Worth, TX 76137-4437
Mailing Address5445 Basswood Blvd, Suite 650Fort Worth, TX 76137-4437 · (817) 485-0161 · Fax (817) 485-9430
Fax(817) 485-9430
Organization SubpartNo
Authorized OfficialRobert Allan HodgsonPresident · (817) 485-0161
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1740369073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · G2993
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5445 BASSWOOD BLVD, Fort Worth, TX 76137

Other Names 1

Doing Business AsNorth Tarrant Family Practice

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 45D0929686

North Tarrant Family Practice · Fort Worth, TX
Active · expires Jun 19, 2027
CLIA Number45D0929686
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorDavid C. Haefeli
Laboratory Phone(817) 485-0161
Laboratory LocationNorth Tarrant Family Practice5445 Basswood Blvd Ste 150, Fort Worth, TX 76137
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
5445 BASSWOOD BLVD, SUITE 650
FORT WORTH, TX 76137
Massage Therapist
5445 BASSWOOD BLVD, STE. 680
FORT WORTH, TX 76137
Family Medicine
5445 BASSWOOD BLVD, SUITE 650
FORT WORTH, TX 76137
Family Medicine
5445 BASSWOOD BLVD, SUITE 650
FORT WORTH, TX 76137

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 Watauga Family Practice PA's NPI number?

The NPI number for Watauga Family Practice PA is 1740369073. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as North Tarrant Family Practice.

Where is Watauga Family Practice PA located?

Watauga Family Practice PA is located at 5445 Basswood Blvd Suite 650, Fort Worth, TX 76137. The listed phone number is (817) 485-0161.

What is Watauga Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Watauga Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0929686) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Watauga Family Practice PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.