MEDICARE: AMI DAUGHRITY P.A.

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	363A00000X	Physician Assistant	PA11131	TX

General Provider Information

NPI Number	:	1144771882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMI DAUGHRITY P.A.

Provider Business Mailing Address
First Line	:	PO BOX 9101
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-9494
Country	:	US
Telephone Number	:	972-745-7500
Fax Number	:	972-745-4336

Provider Business Practice Location Address
First Line	:	3520 NW CENTRE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-3612
Country	:	US
Telephone Number	:	817-375-2100
Fax Number	:	817-237-0022

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

Provider Enumeration Date	:	10/18/2016
Last Update Date	:	03/11/2026

Similar Medicare Providers

1043671696 — NIKKI J CLARK FNP-BC
Practice Location Address:

3520 NW CENTRE DR
LAKE WORTH, TX
76135-3612

Practice Phone: 701-364-4999
Practice Fax:

1225278583 — REHAN HUSAIN ALI M.D.
Practice Location Address:

3520 NW CENTRE DR
FORT WORTH, TX
76135-3612

Practice Phone: 817-375-2100
Practice Fax: 817-237-0022

1811213572 — MATTHEW LEE BLACKBURN DO
Practice Location Address:

3520 NW CENTRE DR
FORT WORTH, TX
76135-3612

Practice Phone: 817-375-2100
Practice Fax: 817-237-0022

1114260981 — ANURADHA NAMUDURI D.O.
Practice Location Address:

3520 NW CENTRE DR
FORT WORTH, TX
76135-3612

Practice Phone: 214-529-3062
Practice Fax:

1225346158 — ANTHONY E PINCKNEY
Practice Location Address:

3612 ADA AVE
FORT WORTH, TX
76105-3422

Practice Phone: 682-230-5417
Practice Fax:

1407640816 — CELENA D FANNIN LCSW
Practice Location Address:

3612 WREN AVE
FORT WORTH, TX
76133-2131

Practice Phone: 817-718-8366
Practice Fax:

Directions to “ AMI DAUGHRITY P.A.” 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.