Organization
PREMIER ORTHOPEDICS OF FORT WORTH, PA
Active
Other names
Kraig R Pepper DO PA, Kraig R. Pepper, D.O., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA MANNING (MEDICAL OFFICE SUPPORT)
(817) 632-0020
Entity
Organization
Contact information
Practice address
6930 HARRIS PKWY STE 130, FORT WORTH, TX 76132-4272
(817) 632-0020
(817) 632-0022
Mailing address
6930 HARRIS PARKWAY, SUITE 130, FORT WORTH, TX 76132
(817) 632-0020
(817) 632-0022
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203808502
—
TX
05
—
308841101
—
TX
Enumeration date
05/31/2012
Last updated
05/28/2024
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