P Praxis·MD
● Active Type 2 · Organization

Fort Worth Pediatrics

Pediatrics·Fort Worth, TX· NPI 1407808652 · Enumerated 2006 · 20 years on NPI
Fort Worth Pediatrics is 1 of 130 pediatrics organizations in Texas.
NPI age
20 years
Enumerated 2006-05-16
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Richey
Business Administrator
Last NPPES update
2011-06-13
Source: monthly bulk 2026-05

How this organization compares

Across 130 active pediatrics providers in Texas.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
5708 Edwards Ranch Road
Fort Worth, TX 76109
📞 8173364040fax 8173366780
Mailing address
5708 Edwards Ranch Road
Fort Worth, TX 76109
📞 8173364040fax 8173366780

Authorized official

Diane A Richey
Business Administrator
📞 8173364040

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    taxonomy 2080A0000X

Identifiers

TypeValueNotes
01 (TX) 8541908 AETNA
05 (TX) 130900702
01 (TX) 10001409 AMERIGROUP
01 (TX) 00L72L BCBS
05 (TX) 130900703
05 (TX) 130900704

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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