DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COWTOWN PEDIATRIX CLINIC, LLC

MEDICARE: COWTOWN PEDIATRIX CLINIC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1821489121
Entity Type Code : Organization
Provider Name (Legal Business Name) : COWTOWN PEDIATRIX CLINIC, LLC
Provider Business Mailing Address
First Line : 4011 BENBROOK HWY STE C
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7800
Country : US
Telephone Number : 817-386-5500
Fax Number : 817-386-5500
Provider Business Practice Location Address
First Line : 4011 BENBROOK HWY STE C
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7800
Country : US
Telephone Number : 817-386-5500
Fax Number : 817-386-5500
Authorized Official
Title or Position : PRESIDENT/MANAGER
Name : SUE KHAMMAR
Credential :
Telephone Number : 871-386-5500
Provider Enumeration Date : 02/09/2015
Last Update Date : 04/08/2021

Similar Medicare Providers

1831989045 — KENDALL R JONES
Practice Location Address:
4011 BENBROOK HWY STE C
FORT WORTH, TX
76116-7800
Practice Phone: 817-386-5500
Practice Fax:
1366728883 — KIMBERLY DAWN FOWLER
Practice Location Address:
4011 BENBROOK HWY STE C
FT WORTH, TX
76116-7800
Practice Phone: 817-386-5500
Practice Fax:
1235880261 — SIERRA MCGEE OTR
Practice Location Address:
4011 BENBROOK HWY
FORT WORTH, TX
76116-7800
Practice Phone: 817-386-5500
Practice Fax:
1386396273 — MEAGAN KAY WILSON OTR
Practice Location Address:
4011 BENBROOK HWY STE C
FORT WORTH, TX
76116-7800
Practice Phone: 817-386-5500
Practice Fax:
1891448973 — MISS MAKENZIE BROOKE HOLLANDSWORTH COTA
Practice Location Address:
4011 BENBROOK HWY
FORT WORTH, TX
76116-7800
Practice Phone: 817-386-5500
Practice Fax:
1497499933 — TAYLOR BREEDLOVE SLP
Practice Location Address:
4011 BENBROOK HWY STE C
FORT WORTH, TX
76116-7800
Practice Phone: 817-386-5500
Practice Fax:

Directions to “COWTOWN PEDIATRIX CLINIC, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.