Timothy L Black in Fort Worth - Pediatric Surgery
Timothy L Black - NPI 1669453940
Timothy L Black is a Pediatric Surgery in Fort Worth, Texas. Timothy L Black practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Timothy L Black is 1669453940. The last update date is 2012-11-05.
Timothy L Black's current location address is 1500 Cooper St, Fort Worth, Texas. You can contact this provider via phone number 6828857080 and fax number 6828857085. The mailing address for Timothy L Black is 1500 Cooper St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy L Black |
|---|---|
| Address | 1500 Cooper St, Fort Worth, Texas |
| Phone Number | 6828857080 |
| Fax Number | 6828857085 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669453940 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2012-11-05 |
Provider Mailing Address Detail
| Address | 1500 Cooper St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042710 |
| Phone Number | 6828857080 |
| Fax Number | 6828857085 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | H1467 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750369203 | NPI GROUP NUMBER | ||
| 8G3393 | TX | BCBSTX PIN | |
| 117647108 | TX | -- | |
| 117647106 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy L Black by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy L Black has been assigned the NPI (National Provider Identifier) 1669453940. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Timothy L Black located?
The Timothy L Black is located at 1500 Cooper St, Fort Worth, TX 761042710.
What is the Timothy L Black's specialty and taxonomy code?
The Timothy L Black's specialty is Pediatric Surgery, and the corresponding taxonomy code is 2086S0120X.
When was the Timothy L Black's 1669453940 issued?
The Timothy L Black's 1669453940 was issued on 2005-11-14.
When was the information pertaining to Timothy L Black most recently updated or revised?
The details related to Timothy L Black, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-05.