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

Fort Worth Pediatrics

Organization Pediatric Adolescent Medicine Physician · NPI 1407808652

Fort Worth Pediatrics is a Pediatric Adolescent Medicine Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

5708 Edwards Ranch Rd
Fort Worth, TX 76109
Phone: (817) 336-4040
Fax: (817) 336-6780
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X (TX)

Record details

NPI number1407808652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Richey — Business Administrator · (817) 336-4040
NPI enumeratedMay 16, 2006
Last updated in NPPESJune 13, 2011
Mailing address5708 Edwards Ranch Road, Fort Worth, TX 76109

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