OrganizationActive
Young Kids Pediatrics PA
NPI 1194905141 · Primary Care Clinic/Center · Fort Worth, TX
Provider details
- NPI number
- 1194905141
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Young, President(817) 361-7494
- License
- G8527 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6210 John Ryan Dr
Suite 109
Fort Worth, TX 76132-4113
Phone: (817) 361-7494
Street-level locationGet directions
Mailing address
6210 John Ryan Dr
Fort Worth, TX 76132-4113
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.