Forth Worth Surgical Associates Pa in Fort Worth - Surgery
Forth Worth Surgical Associates Pa - NPI 1679561641
Forth Worth Surgical Associates Pa is a Surgery in Fort Worth, Texas. Forth Worth Surgical Associates Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Forth Worth Surgical Associates Pa is 1679561641. The last update date is 2007-11-28.
Forth Worth Surgical Associates Pa's current location address is 6100 Harris Pkwy, Fort Worth, Texas. You can contact this provider via phone number 8173709011 and fax number 8173460380. The mailing address for Forth Worth Surgical Associates Pa is 6100 Harris Pkwy, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forth Worth Surgical Associates Pa |
|---|---|
| Address | 6100 Harris Pkwy, Fort Worth, Texas |
| Phone Number | 8173709011 |
| Fax Number | 8173460380 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pettey Robert William |
| Credentials | MD |
| Telephone Number | 8173709011 |
NPI Number Detail
| NPI Number | 1679561641 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2007-11-28 |
Provider Mailing Address Detail
| Address | 6100 Harris Pkwy |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761324128 |
| Phone Number | 8173709011 |
| Fax Number | 8173460380 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | G8340 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 91159 | AMERIGROUP | ||
| 4254295 | AETNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Forth Worth Surgical Associates Pa?
The Forth Worth Surgical Associates Pa has been issued the NPI (National Provider Identifier) 1679561641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Forth Worth Surgical Associates Pa?
The Forth Worth Surgical Associates Pa is physically situated at 6100 Harris Pkwy, in the city of Fort Worth, state of TX, with the postal code 761324128.
What is Forth Worth Surgical Associates Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Forth Worth Surgical Associates Pa is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679561641 to Forth Worth Surgical Associates Pa?
The Centers for Medicare & Medicaid Services originally issued the 1679561641 to Forth Worth Surgical Associates Pa on 2005-10-12.
As of what date were the Forth Worth Surgical Associates Pa's details last updated?
The information pertaining to the Forth Worth Surgical Associates Pa, including its address, specialty, and other details, was most recently updated on 2007-11-28.