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FORT WORTH PEDIATRICS
NPI 1801128889
Pediatrics - Adolescent Medicine in Fort Worth, TX

Active since February 02, 2010
5708 EDWARDS RANCH ROAD, FORT WORTH, TX 76109(817) 336-4040(817) 336-6780 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fort Worth Pediatrics NPPES

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

FORT WORTH PEDIATRICS (NPI 1801128889) 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

NPI1801128889
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameFORT WORTH PEDIATRICS
Location Address5708 EDWARDS RANCH ROADFort Worth, TX 76109
Mailing Address5708 Edwards Ranch RoadFort Worth, TX 76109 · (817) 336-4040 · Fax (817) 336-6780
Phone(817) 336-4040
Fax(817) 336-6780
Organization SubpartNo
Authorized OfficialDiane RicheyAdministrator · (817) 336-4040
Enumeration DateFebruary 2, 2010
Last NPPES UpdateJune 15, 2011
✔ NPI 1801128889 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.
5708 EDWARDS RANCH ROAD, Fort Worth, TX 76109
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Other Identifiers 1

Medicaid130900704TX

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 2

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

FORT WORTH PEDIATRICS
Pediatrics (Adolescent Medicine)
5708 EDWARDS RANCH ROAD
FORT WORTH, TX 76109
Tarrant County (817) 336-4040
JAMES M. FRIEDMAN M.D.
Pediatrics
5708 EDWARDS RANCH ROAD
FORT WORTH, TX 76109
Tarrant County (817) 336-4040

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 1801128889. 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 5708 Edwards Ranch Road, Fort Worth, TX 76109. The listed phone number is (817) 336-4040.

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 June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.