MEDICARE: KENNETH DEAN ARCHER MD

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
1	207Q00000X	Family Medicine Physician	L7965	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PENDING	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083654123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH DEAN ARCHER MD

Provider Business Mailing Address
First Line	:	2000 S FM 51
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-3702
Country	:	US
Telephone Number	:	817-479-3818
Fax Number	:	817-479-3884

Provider Business Practice Location Address
First Line	:	8479 DAVIS BLVD STE 300
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8604
Country	:	US
Telephone Number	:	817-479-3818
Fax Number	:	817-479-3884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	10/20/2021

Similar Medicare Providers

1356830319 — DR. MICHAEL ANDREW MCBRAYER II MD
Practice Location Address:

8479 DAVIS BLVD STE 100
NORTH RICHLAND HILLS, TX
76182-8604

Practice Phone: 817-514-3833
Practice Fax: 817-514-3835

1952970634 — MARGARET NJOKI WOODS AGACNP
Practice Location Address:

8479 DAVIS BLVD STE 100
NORTH RICHLAND HILLS, TX
76182-8604

Practice Phone: 855-446-5940
Practice Fax:

1588208508 — MCKENZIE CORDOVA
Practice Location Address:

6897 AUGUSTA HILLS DR NE
RIO RANCHO, NM
87144-8604

Practice Phone: 505-867-1021
Practice Fax:

1003752593 — SETH F WALKER ATC
Practice Location Address:

8308 SANDY CT
NORTH RICHLAND HILLS, TX
76182-8479

Practice Phone: 817-637-0652
Practice Fax:

1033842810 — MISS TEMILOLUWA OLATUNDE OMISAKIN NP
Practice Location Address:

6401 PRECINCT LINE RD
NORTH RICHLAND HILLS, TX
76182-4815

Practice Phone: 866-389-2727
Practice Fax:

1760072862 — KATHERINE BAUM KING
Practice Location Address:

8260 PRECINCT LINE RD
NORTH RICHLAND HILLS, TX
76182-8608

Practice Phone: 817-717-6060
Practice Fax:

Directions to “ KENNETH DEAN ARCHER MD” 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.