Organization
FORT WORTH PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE RICHEY (ADMINISTRATOR)
(817) 336-4040
Entity
Organization
Contact information
Practice address
5708 EDWARDS RANCH ROAD, FORT WORTH, TX 76109
(817) 336-4040
(817) 336-6780
Mailing address
5708 EDWARDS RANCH ROAD, FORT WORTH, TX 76109
(817) 336-4040
(817) 336-6780
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130900704
—
TX
Enumeration date
02/02/2010
Last updated
06/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us