Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alliance Heritage Trace PLLC

Organization Pediatrics Physician · NPI 1689922627

Alliance Heritage Trace PLLC is a Pediatrics Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 Heritage Trace Pkwy Ste 208
Fort Worth, TX 76244-8901
Phone: (817) 741-5437
Fax: (888) 400-5412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence L8824 (TX)

Record details

NPI number1689922627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Martin — Owner · (817) 741-5437
Other names Alliance Pediatrics
NPI enumeratedAugust 23, 2012
Last updated in NPPESOctober 10, 2012
Mailing address12461 Timberland Blvd, Suite 309, Fort Worth, TX 76244-5213

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