OrganizationActive
Fort Worth Pediatrics
NPI 1710219795 · Pediatric Adolescent Medicine Physician · Fort Worth, TX
Provider details
- NPI number
- 1710219795
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Diane Richey, Administrator
Practice location
1108 S Henderson St
Fort Worth, TX 76104-4430
Phone: (817) 335-3255
Fax: (817) 338-9563
Mailing address
1108 S Henderson St
Fort Worth, TX 76104-4430
Registry dates
- Enumerated
- 2010-02-02
- Last updated
- 2010-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.