Organization
FORT WORTH MED-PEDS ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART CHARLES PICKELL MD (OWNER)
(817) 732-6060
Entity
Organization
Contact information
Practice address
4545 BELLAIRE DR S, SUITE 9, FORT WORTH, TX 76109-1889
(817) 732-6060
(817) 731-2541
Mailing address
4545 BELLAIRE DR S, SUITE 9, FORT WORTH, TX 76109-1889
(817) 732-6060
(817) 731-2541
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L2552
TX
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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