OrganizationActive
Fort Worth Pediatrics
NPI 1629300603 · Pediatric Adolescent Medicine Physician · Fort Worth, TX
Provider details
- NPI number
- 1629300603
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Richey, Administrator(817) 336-4040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
6401 Harris Pkwy
Suite 100
Fort Worth, TX 76132-6101
Phone: (817) 346-2525
Fax: (817) 294-1692
Street-level locationGet directions
Mailing address
5708 Edwards Ranch Road
Fort Worth, TX 76109
Registry dates
- Enumerated
- 2010-02-02
- Last updated
- 2011-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.