Village Pediatrics, Pa in Fort Worth - Pediatrics
Village Pediatrics, Pa - NPI 1942463724
Village Pediatrics, Pa is a Pediatrics in Fort Worth, Texas. Village Pediatrics, Pa practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Village Pediatrics, Pa is 1942463724. The last update date is 2008-07-02.
Village Pediatrics, Pa's current location address is 4917 Riverbend Dr, Fort Worth, Texas. You can contact this provider via phone number 8172494155 and fax number 8172490497. The mailing address for Village Pediatrics, Pa is 4917 Riverbend Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Village Pediatrics, Pa |
|---|---|
| Address | 4917 Riverbend Dr, Fort Worth, Texas |
| Phone Number | 8172494155 |
| Fax Number | 8172490497 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Perdue Stephanie |
| Credentials | MD |
| Telephone Number | 8172494155 |
NPI Number Detail
| NPI Number | 1942463724 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 4917 Riverbend Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761092436 |
| Phone Number | 8172494155 |
| Fax Number | 8172490497 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | K0154 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1331803-06 | TX | -- | |
| 1331803-04 | TX | -- | |
| K0154 | TX | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Village Pediatrics, Pa?
The Village Pediatrics, Pa has been issued the NPI (National Provider Identifier) 1942463724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Village Pediatrics, Pa's facilities are situated?
The facilities of Village Pediatrics, Pa are physically located at the following address: 4917 Riverbend Dr, Fort Worth, TX, 761092436.
What is Village Pediatrics, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Village Pediatrics, Pa's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942463724 to Village Pediatrics, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1942463724 to Village Pediatrics, Pa on 2008-07-02.
When was the information regarding Village Pediatrics, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Village Pediatrics, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY