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 1710219795

Fort Worth Pediatrics is a Pediatric Adolescent Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1108 S Henderson St
Fort Worth, TX 76104-4430
Phone: (817) 335-3255
Fax: (817) 338-9563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1710219795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Richey — Administrator · (817) 336-4040
NPI enumeratedFebruary 2, 2010
Last updated in NPPESFebruary 2, 2010
Mailing address1108 S Henderson St, Fort Worth, TX 76104-4430

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