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COWTOWN PEDIATRIX CLINIC, LLC
NPI 1821489121
Clinic/Center - Multi-Specialty in Fort Worth, TX

Active since February 09, 2015
4011 BENBROOK HWY STE C, FORT WORTH, TX 76116(817) 386-5500(817) 386-5500 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cowtown Pediatrix Clinic, Llc NPPES

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

COWTOWN PEDIATRIX CLINIC, LLC (NPI 1821489121) is a healthcare organization registered as a multi-specialty in Fort Worth, Texas and active in the NPI registry since February 2015. The organization lists Sue Khammar, President/manager, as its authorized official.

NPPES Registry Identity

NPI1821489121
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOWTOWN PEDIATRIX CLINIC, LLC
Location Address4011 BENBROOK HWY STE CFort Worth, TX 76116-7800
Mailing Address4011 Benbrook Hwy Ste CFort Worth, TX 76116-7800 · (817) 386-5500 · Fax (817) 386-5500
Phone(817) 386-5500
Fax(817) 386-5500
Organization SubpartNo
Authorized OfficialSue KhammarPresident/manager · (871) 386-5500
Enumeration DateFebruary 9, 2015
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1821489121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4011 BENBROOK HWY STE C, Fort Worth, TX 76116
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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.

KIMBERLY DAWN FOWLER
Speech-Language Pathologist
4011 BENBROOK HWY STE C
FT WORTH, TX 76116
Tarrant County (817) 386-5500
MEAGAN KAY WILSON OTR
Occupational Therapist
4011 BENBROOK HWY STE C
FORT WORTH, TX 76116
Tarrant County (817) 386-5500
TAYLOR BREEDLOVE SLP
Speech-Language Pathologist
4011 BENBROOK HWY STE C
FORT WORTH, TX 76116
Tarrant County (817) 386-5500
KENDALL R JONES
Speech-Language Pathologist
4011 BENBROOK HWY STE C
FORT WORTH, TX 76116
Tarrant County (817) 386-5500
TARA JANE COLLINS OTD, OTR/L
Occupational Therapist
4011 BENBROOK HWY STE C
FORT WORTH, TX 76116
Tarrant County (817) 386-5500
CAROLINE E HASKINS MS-CCC, SLP
Speech-Language Pathologist
4011 BENBROOK HWY STE C
FORT WORTH, TX 76116
Tarrant County (817) 386-5500

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 Cowtown Pediatrix Clinic, LLC's NPI number?

The NPI number for Cowtown Pediatrix Clinic, LLC is 1821489121. It was assigned to this organization in the NPPES registry on February 9, 2015.

Where is Cowtown Pediatrix Clinic, LLC located?

Cowtown Pediatrix Clinic, LLC is located at 4011 Benbrook Hwy Ste C, Fort Worth, TX 76116. The listed phone number is (817) 386-5500.

What is Cowtown Pediatrix Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Cowtown Pediatrix Clinic, LLC was last updated on April 8, 2021. 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.