OrganizationActive
Fort Worth Pediatrics
NPI 1407808652 · Pediatric Adolescent Medicine Physician · Fort Worth, TX
Provider details
- NPI number
- 1407808652
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Richey, Business Administrator(817) 336-4040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5708 Edwards Ranch Road
Fort Worth, TX 76109
Phone: (817) 336-4040
Fax: (817) 336-6780
Approximate (ZIP-level) locationGet directions
Mailing address
5708 Edwards Ranch Road
Fort Worth, TX 76109
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2011-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.