P Praxis·MD
● Active Type 2 · Organization

Forth Worth Surgical Associates PA

Surgery·Fort Worth, TX· NPI 1679561641 · Enumerated 2005 · 20 years on NPI
Forth Worth Surgical Associates PA is 1 of 3028 surgery organizations in Texas.
NPI age
20 years
Enumerated 2005-10-12
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pettey
Owner
Last NPPES update
2007-11-28
Source: monthly bulk 2026-05

How this organization compares

Across 3028 active surgery providers in Texas.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
6100 Harris Pkwy, #390
Fort Worth, TX 761324128
📞 8173709011fax 8173460380
Mailing address
6100 Harris Pkwy, #390
Fort Worth, TX 761324128
📞 8173709011fax 8173460380

Authorized official

William Robert Pettey, MD
Owner
📞 8173709011

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #G8340 taxonomy 208600000X

Identifiers

TypeValueNotes
01 91159 AMERIGROUP
01 4254295 AETNA

Practice context

Multi-provider organization. 20 individual providers 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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