DRU RIDDLE ANESTHESIA, PLLC (NPI# 1346751682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346751682 |
| Entity Type | Organization |
| Organization Name | DRU RIDDLE ANESTHESIA, PLLC |
| Practice Address |
2800 W Bowie St Fort Worth TX 76109-1706 |
| Mailing Address |
320 Silver Canyon Dr Fort Worth TX 76108-9612 |
| Practice Telephone | 8177347980 |
| Mailing Telephone | 8177347980 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | DR. JONATHAN DRU RIDDLE (MANAGING PARTNER) |
| Authorized Official Telephone | 8177347980 |
| Authorized Official Credential | PHD, DNP, CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2800 W BOWIE ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1235752643 | Texas Health Surgery Center Southwest Fort Worth, LLC | Clinic/Center | 6317 Harris Pkwy Ste 200, Fort Worth, TX 76132-4257 | 2020-05-20 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1508367194 | Texas Health Orthopedic Surgery Center Alliance, LLC | Clinic/Center | 9848 N Beach St, Fort Worth, TX 76244-6184 | 2018-02-28 |
| 1740780956 | Psn Fw Holdco, LLC | Clinic/Center | 975 Haskell Street, Fort Worth, TX 76107 | 2018-02-14 |
| 1952820680 | Emerald Laine, Pllc | Clinic/Center | 3836 Arundel Ave, Fort Worth, TX 76109-3542 | 2017-09-13 |
| 1104341254 | Texas Health Surgery Center Alliance, LLC | Clinic/Center | 10840 Texas Health Trl Ste 100, Fort Worth, TX 76244-6847 | 2017-08-10 |
| 1033399803 | Physicians Surgical Center of Ft. Worth, L.l.p | Clinic/Center | 975 Haskell St, Fort Worth, TX 76107-2653 | 2007-11-09 |
| 1700994290 | Urological Surgery Center LLC | Clinic/Center | 418 S Henderson St, Fort Worth, TX 76104-1017 | 2006-08-26 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on DRU RIDDLE ANESTHESIA, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.