| Fort Worth Med-peds Associates P.a. | |
|
4545 Bellaire Dr S Suite 9 Fort Worth TX 76109-1889 | |
| (817) 732-6060 | |
| (817) 731-2541 |
| Full Name | Fort Worth Med-peds Associates P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4545 Bellaire Dr S, Fort Worth, Texas |
| Authorized Official Name and Position | Stuart Charles Pickell (OWNER) |
| Authorized Official Contact | 8177326060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Med-peds Associates P.a. 4545 Bellaire Dr S Suite 9 Fort Worth TX 76109-1889 Ph: (817) 732-6060 | Fort Worth Med-peds Associates P.a. 4545 Bellaire Dr S Suite 9 Fort Worth TX 76109-1889 Ph: (817) 732-6060 |
| NPI Number | 1689718975 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689718975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | L2552 (Texas) | Primary |
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