NPI age
14 years
Enumerated 2011-05-31
● Active Type 2 · Organization
Fort Worth Lung Clinic, PA
Fort Worth Lung Clinic, PA is 1 of 1466 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Ayo
President
Last NPPES update
2025-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 1466 active clinic/center providers in Texas.
NPI age
14 years
↑ 5 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-05Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
11803 South Fwy Ste 136
Burleson, TX 760288460
Mailing address
Po Box 16284
Fort Worth, TX 761620284
Additional practice locations
1 secondary location on file with NPPES.
Location 2
800 8th Ave Ste 412
Fort Worth, TX 761042618
Authorized official
Dereje Sahel Ayo, MD
President
📞 8177391080
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | N0617 | LICENCE |
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.