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

Nortside Medical Clinic, PA

Organization Family Medicine Physician · NPI 1285755504

Nortside Medical Clinic, PA is a Family Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2007.

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

1600 25th St Ste B
Fort Worth, TX 76106
Phone: (817) 626-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1285755504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Wardlay — Owner · (817) 626-3434
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1600 25th Street, Suite B, Fort Worth, TX 76106

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