COWTOWN PEDIATRIX CLINIC, LLC (NPI# 1821489121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821489121 |
| Entity Type | Organization |
| Organization Name | COWTOWN PEDIATRIX CLINIC, LLC |
| Practice Address |
4140 Tamworth Rd Fort Worth TX 76116-8122 |
| Practice Telephone | 8173865500 |
| Practice Fax Number | 8173865500 |
| Mailing Telephone | 8173865500 |
| Mailing Fax Number | 8173865500 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | SUE KHAMMAR (PRESIDENT) |
| Authorized Official Telephone | 8173865500 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
4140 TAMWORTH RD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230822 | Sue Khammar | Occupational Therapist | 4140 Tamworth Rd, Fort Worth, TX 76116-8122 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1326567454 | Edge Medical Services Inc. | Clinic/Center | 4709 Westlake Dr, Fort Worth, TX 76132-1514 | 2017-09-09 |
| 1922573179 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 6302 Meadowbrook Dr Ste 112, Fort Worth, TX 76112-5163 | 2018-10-03 |
| 1225549918 | Edge Medical Services Inc. | Clinic/Center | 9804 Mcfarring Dr, Fort Worth, TX 76244-5898 | 2017-10-20 |
| 1609312263 | Mri Centers of Texas, LLC - Fort Worth Central Series | Clinic/Center | 1000 Lipscomb St, Suite 100, Fort Worth, TX 76104-3180 | 2017-01-06 |
| 1053762237 | Suresh Kankanala M.d, P.a. | Clinic/Center | 923 College Ave, Suite 103, Fort Worth, TX 76104-3050 | 2016-06-28 |
| 1952756355 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 4255 Amon Carter Blvd, Hdq Building 2, Fort Worth, TX 76155-2603 | 2016-05-04 |
| 1649510991 | Cardiac Cath Lab of Fort Worth Lp | Clinic/Center | 1106 Alston Ave, Suite 100, Fort Worth, TX 76104-4644 | 2013-02-25 |
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| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
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| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
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| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on COWTOWN PEDIATRIX CLINIC, LLC.
| 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.