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ERIC MATTHEW WOMBOLDT
NPI 1821793456
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since April 03, 2023
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3100 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric Matthew Womboldt NPPES

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

ERIC MATTHEW WOMBOLDT (NPI 1821793456) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1821793456
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERIC MATTHEW WOMBOLDT
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917
Phone(817) 702-3100
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 3, 2023
✔ NPI 1821793456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 S MAIN ST, Fort Worth, TX 76104
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Other Providers at the Same Location NPPES 20

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

LIANCUN WU
Anesthesiology
1500 S MAIN ST, JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX 76104
Tarrant County (817) 927-1417
JPS PHYSICIAN GROUP INC
General Acute Care Hospital
1500 S MAIN ST, PHYSICIAN SERVICES
FORT WORTH, TX 76104
Tarrant County (817) 852-8440
DR. DANIEL FREDERICK CASEY M.D.
Family Medicine
1500 S MAIN ST, FORT WORTH
FORT WORTH, TX 76104
Tarrant County (817) 927-1395
DR. BARBARA LYNN SLEE M.D.
Family Medicine
1500 S MAIN ST, FAMILY HEALTH CENTER
FORT WORTH, TX 76104
Tarrant County (817) 927-1200
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
DR. SANDRA G MORENO M.D.
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 920-7160
DR. WILLIAM BART PATE M.D.
Family Medicine
1500 S MAIN ST, DEPT. OF FAMILY MEDICINE
FORT WORTH, TX 76104
Tarrant County (817) 927-3593
LOREN S LASATER MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1200

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 Eric Womboldt's NPI number?

The NPI number for Eric Womboldt is 1821793456. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Eric Womboldt located?

Eric Womboldt practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3100.

What is Eric Womboldt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eric Womboldt was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.