MEDICARE: PEDI MASTER INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1336513803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDI MASTER INC

Provider Business Mailing Address
First Line	:	7637 BERMEJO RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-6107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7637 BERMEJO RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-6107
Country	:	US
Telephone Number	:	817-271-1393
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LARRY D MERCER
Credential	:
Telephone Number	:	817-271-1393

Provider Enumeration Date	:	11/21/2015
Last Update Date	:	11/21/2015

Similar Medicare Providers

1841288453 — DAVID PARRISH JR. MD
Practice Location Address:

6100 HARRIS PKWY STE 1200
FORT WORTH, TX
76132-6107

Practice Phone: 817-263-3724
Practice Fax: 817-263-3787

1922099977 — MARK JACKSON P.A.-C
Practice Location Address:

6100 HARRIS PKWY STE 1200
FORT WORTH, TX
76132-6107

Practice Phone: 817-263-3724
Practice Fax:

1437618584 — ANDREW RONALDO STEWART MD
Practice Location Address:

6100 HARRIS PKWY STE 1200
FORT WORTH, TX
76132-6107

Practice Phone: 817-263-3724
Practice Fax: 817-263-3787

1205295094 — DRA BEHAVIORAL HEALTH CORP
Practice Location Address:

6107 PALM DR
FORT PIERCE, FL
34982-7577

Practice Phone: 954-394-2835
Practice Fax:

1750468385 — MARK A RHODES LPC
Practice Location Address:

1160 COUNTRY CLUB LN # 1160
FORT WORTH, TX
76112-2008

Practice Phone: 817-361-7201
Practice Fax: 817-361-7521

1689532665 — DESHONDA CHARTRICE TUCKER
Practice Location Address:

6436 BRENTWOOD STAIR RD
FORT WORTH, TX
76112-3228

Practice Phone: 682-351-7748
Practice Fax:

Directions to “PEDI MASTER INC ” 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.