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

Dr. John Licciardone, DO

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1407829641

Dr. John Licciardone, DO is a Neuromusculoskeletal Medicine & OMM Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Unthsc Patient Care Center 999 Montgomery
Fort Worth, TX 76107
Phone: (817) 735-2235
Fax: (817) 735-2480
Show map & directions

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

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence H3103 (TX)

Record details

NPI number1407829641
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESMarch 4, 2008
Mailing addressUnthsc Dept. Of Quality Management, 3500 Camp Bowie Blvd., Ead 324, Fort Worth, TX 76107

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