P Praxis·MD
● Active Type 1 · Individual

DR. John Licciardone, D.O.

Neuromusculoskeletal Medicine & OMM·Fort Worth, TX· NPI 1407829641 · Enumerated 2006 · 20 years on NPI
Licciardone is 1 of 20 neuromusculoskeletal medicine & omm providers in Fort Worth and 1 of 59 in Texas.
NPI age
20 years
Enumerated 2006-02-08
Primary specialty
Neuromusculoskeletal Medicine & OMM
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 59 active neuromusculoskeletal medicine & omm providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
Unthsc Patient Care Center, 999 Montgomery
Fort Worth, TX 76107
📞 8177352235fax 8177352480
Mailing address
Unthsc Dept. Of Quality Management, 3500 Camp Bowie Blvd., Ead 324
Fort Worth, TX 76107
📞 8177350170fax 8177350111

Specialties

  • Neuromusculoskeletal Medicine & OMM Primary
    The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic...
    TX license #H3103 taxonomy 204D00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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