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

Fort Worth Lung Clinic, PA

Organization Primary Care Clinic/Center · NPI 1558655274

Fort Worth Lung Clinic, PA is a Primary Care Clinic/Center in Burleson, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11803 S Fwy Ste 136
Burleson, TX 76028-8460
Phone: (817) 568-8411
Fax: (817) 568-8414
Show map & directions

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

Additional practice locations (1)

  • 800 8th Ave Ste 412, Fort Worth, TX 76104-2618 — (817) 336-8773

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence N0617 (TX)

Record details

NPI number1558655274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dereje Ayo — President · (817) 739-1080
NPI enumeratedMay 31, 2011
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing addressPo Box 16284, Fort Worth, TX 76162-0284

Other providers in Burleson