IndividualActive
Daniel Petr, PA-C
NPI 1023345436 · Medical Physician Assistant · Fort Worth, TX
Provider details
- NPI number
- 1023345436
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA04844 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
709 W Leuda St
Fort Worth, TX 76104-3115
Phone: (817) 926-2511
Fax: (817) 924-0167
Street-level locationGet directions
Mailing address
709 W Leuda St
Fort Worth, TX 76104-3115
Registry dates
- Enumerated
- 2009-11-05
- Last updated
- 2009-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.