Kraig Robert Pepper in Fort Worth - Sports Medicine
Kraig Robert Pepper - NPI 1568444107
Kraig Robert Pepper is a Sports Medicine in Fort Worth, Texas. Kraig Robert Pepper practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kraig Robert Pepper is 1568444107. The last update date is 2021-12-28.
Kraig Robert Pepper's current location address is 6930 Harris Pkwy Ste 130, Fort Worth, Texas. You can contact this provider via phone number 8176320020 and fax number 8176320022. The mailing address for Kraig Robert Pepper is 6930 Harris Pkwy Ste 130, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kraig Robert Pepper |
|---|---|
| Address | 6930 Harris Pkwy Ste 130, Fort Worth, Texas |
| Phone Number | 8176320020 |
| Fax Number | 8176320022 |
| Sole Proprietor | N |
| Credentials | DO PA |
NPI Number Detail
| NPI Number | 1568444107 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2021-12-28 |
Provider Mailing Address Detail
| Address | 6930 Harris Pkwy Ste 130 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324272 |
| Phone Number | 8176320020 |
| Fax Number | 8176320022 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | N1060 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203808502 | TX | -- | |
| 101210471 | PA | -- |
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What is the Kraig Robert Pepper's unique identification number?
The Kraig Robert Pepper has been assigned the NPI (National Provider Identifier) Number 1568444107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kraig Robert Pepper located?
The Kraig Robert Pepper is located at 6930 Harris Pkwy Ste 130, Fort Worth, TX 761324272.
What is the Kraig Robert Pepper's area of specialization and corresponding taxonomy classification?
The Kraig Robert Pepper's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date was the 1568444107 assigned to Kraig Robert Pepper?
The Kraig Robert Pepper was issued its 1568444107 on 2005-11-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kraig Robert Pepper most recently updated?
The details pertaining to the Kraig Robert Pepper, including its address, specialty, and other relevant information, were last refreshed on 2021-12-28.