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

Fort Worth Pediatrics, PA

Organization Pediatric Adolescent Medicine Physician · NPI 1760502835

Fort Worth Pediatrics, PA is a Pediatric Adolescent Medicine Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6401 Harris Pkwy SUITE100
Fort Worth, TX 76132-6101
Phone: (817) 346-2525
Fax: (817) 294-1692
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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 (TX)

Record details

NPI number1760502835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Richey — Administrator · (817) 336-4040
NPI enumeratedMarch 30, 2007
Last updated in NPPESJune 14, 2011
Mailing address5708 Edwards Ranch Road, Fort Worth, TX 76109

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