Individual
NANCY J HITZFELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 W LANCASTER AVE, FORT WORTH, TX 76102-3410
(817) 336-8611
(682) 336-2823
Mailing address
1300 W LANCASTER, FORT WORTH, TX 76102-3484
(817) 336-2823
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
E6098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120503105
—
TX
05
—
140442813
—
TX
01
—
1548230923
GROUP NPI NUMBER
TX
Enumeration date
07/26/2006
Last updated
04/29/2010
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