NPI age
13 years
Enumerated 2012-10-06
● Active Type 2 · Organization
Fairway Pediatrics, Pllc
Fairway Pediatrics, Pllc is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wang
Owner
Last NPPES update
2013-01-07
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
4100 Fairway Dr, Suite 300
Carrollton, TX 750106525
Mailing address
4100 Fairway Dr, Suite 300
Carrollton, TX 750106525
Authorized official
Jian Wang, MD
Owner
📞 4698552073
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Thomas Adams, DPT Physical Therapist NPI 1992071724
- Syed Haider, D.D.S. Dentist NPI 1972527786
- Krista Ketcham, M.ED., LPC Counselor NPI 1538216510
- Charles Manley, PH.D. Psychologist NPI 1508910316
- Lisa Reznick, M.D. Orthopaedic Surgery NPI 1629054531
- Alison Taylor, OTR/L,CHT,CKTI Occupational Therapist NPI 1316944366
- Jian Wang, MD Pediatrics NPI 1528043882
- Amanda Warneke Physician Assistant NPI 1144777814
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3079857-01 |
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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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.