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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALLIANCE HERITAGE TRACE PLLC

Active Organization

ALLIANCE HERITAGE TRACE PLLC is a Pediatrics organization located in FORT WORTH, Texas. NPI 1689922627 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FORT WORTH, TX

Registration Details

NPI Number
1689922627
Provider Type
Organization
NPI Issued
Aug 23, 2012 (13.943039255032 yrs)
Last Updated
Oct 10, 2012
License
L8824 (TX)

Practice Information

Address
4400 HERITAGE TRACE PKWY
SUITE 208
FORT WORTH, TX, 762448901
Browse TX providers · Browse ZIP 76244
Phone
8177415437
Fax
8884005412
Primary Specialty
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.