person
Patricia B Newcomb, PHDRNCPNP
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1366447013

Patricia B Newcomb is a Pediatric Nurse Practitioner based in Fort Worth, TX and is specialized in Pediatrics. Patricia B Newcomb practices in Fort Worth, TX and has the professional credentials of PHDRNCPNP. The NPI Number for Patricia B Newcomb is 1366447013 and holds a License No. 510094 (Texas).

The current practice location address for Patricia B Newcomb is 2528 Jacksboro Hwy, Fort Worth, TX and can be reached out via phone at 817-625-1770 and via fax at 817-625-1287. You can also correspond with Patricia B Newcomb through the mailing address at PO BOX 99371, FORT WORTH, TX - 76199-0371 (mailing address contact number: 682-885-1855).

Location: 2528 Jacksboro Hwy, Fort Worth, TX, 76199-0371
person
Provider Profile Details
NPI Number
1366447013
Provider Name
Patricia B Newcomb
Credential
PHDRNCPNP
Provider Entity Type
Individual
Gender
Female
Address
2528 Jacksboro Hwy, Fort Worth, TX, 76199-0371
Phone Number
817-625-1770
Fax Number
817-625-1287
Provider Enumeration Date
06/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00U87Z 01 TX MEDICARE GROUP PIN
137345810 01 TX CSHCN GROUP TPI
062615204 05 TX
1750369203 01 TX NPI GROUP NUMBER
140442852 01 TX MEDICAID GROUP TPI
062615205 01 TX CSHCN INDIVIDUAL TPI
institution
Provider Business Practice Location Address Details
Address
2528 Jacksboro Hwy
City
State
Zip
76114-2206
Phone Number
817-625-1770
Fax Number
817-625-1287
person
Provider Business Mailing Address Details
Address
2528 Jacksboro Hwy
City
State
Zip
76114-2206
Phone Number
817-625-1770
Fax Number
817-625-1287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
510094 (Texas)
Definition
Definition to come...
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