NPI age
19 years
Enumerated 2007-02-01
● Active
Type 1 · Individual
DR. Kelly Dawn Black, MD, MSC
Black is 1 of 29 emergency medicine providers in Fort Worth and 1 of 73 in Texas.
Primary specialty
Emergency Medicine
Plus 2 subspecialties
Licensed in
SD, KY, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 73 active emergency medicine providers in Texas.
NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 72% — 27% of peers are multi-state
Subspecialties
1
In the 54% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
801 7th Ave
Fort Worth, TX 761042733
Mailing address
Po Box 733784
Dallas, TX 753733784
Specialties
-
Emergency Medicine PrimaryPediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
-
PediatricsA pediatrician who has special qualifications to manage emergencies in infants and children.
Practice context
Part of a multi-provider practice. 521 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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