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

Timothy L Black, MD

Individual provider Pediatric Surgery Physician · NPI 1669453940

Timothy L Black, MD is a Pediatric 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-7080
Fax: (682) 885-7085
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence H1467 (TX)

Record details

NPI number1669453940
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESNovember 5, 2012
Mailing addressPo Box 99371, Fort Worth, TX 76199-0371

Other providers in Fort Worth