Individual
ANTHONY MICHAEL ZEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 920-6245
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 920-6245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A104319
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
N7515
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
N7515
TX
208M00000X
Hospitalist Physician
N7515
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB121703
MEDICARE
TX
Enumeration date
06/24/2008
Last updated
08/18/2025
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