MEDICARE: B J WROTEN, M.D., 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	207XS0106X	Orthopaedic Hand Surgery Physician

General Provider Information

NPI Number	:	1508807363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B J WROTEN, M.D., P.A.

Provider Business Mailing Address
First Line	:	801 W TERRELL AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3100
Country	:	US
Telephone Number	:	817-877-3177
Fax Number	:	817-877-3176

Provider Business Practice Location Address
First Line	:	801 W TERRELL AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3100
Country	:	US
Telephone Number	:	817-877-3177
Fax Number	:	817-877-3176

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	BOBBY JOE WROTEN
Credential	:	M.D.
Telephone Number	:	817-877-3177

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	08/22/2020

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