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

Forth Worth Surgical Associates PA

Organization Surgery Physician · NPI 1679561641

Forth Worth Surgical Associates PA is a Surgery Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
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

6100 Harris Pkwy #390
Fort Worth, TX 76132-4128
Phone: (817) 370-9011
Fax: (817) 346-0380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G8340 (TX)

Record details

NPI number1679561641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Pettey — Owner · (817) 370-9011
NPI enumeratedOctober 12, 2005
Last updated in NPPESNovember 28, 2007
Mailing address6100 Harris Pkwy, 390, Fort Worth, TX 76132-4128

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