Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY L BLACK, MD
ActiveTIMOTHY L BLACK, MD is a Pediatric Surgery healthcare provider located in FORT WORTH, Texas. NPI 1669453940 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · FORT WORTH, TX
Registration Details
- NPI Number
- 1669453940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2005 (20.744116053567 yrs)
- Last Updated
- Nov 5, 2012
- License
-
H1467 (TX)
Practice Information
- Address
-
1500 COOPER STFORT WORTH, TX, 761042710Browse TX providers · Browse ZIP 76104
- Phone
- 6828857080
- Fax
- 6828857085
- Primary Specialty
-
Pediatric Surgery
2086S0120X
Other Pediatric Surgery Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| JAMES P MILLER | MD | 1063493831 |
| JOSE L IGLESIAS | MD | 1346221116 |
| THOMAS A ROTHENBACH | M.D. | 1245333780 |
| KYRIACOS PANAYIDES | MD | 1063634038 |
| DR. EROL MARTIN KNOTT JR. | D.O., PH.D. | 1356533673 |
| JOHN KENNETH UFFMAN | MD, MPH | 1932395605 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.