Texas ENT Center, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

N6768 Issued in TX

Legal business name

TEXAS ENT CENTER, PLLC

Practice address

4601 Heritage Trace Parkway
Fort Worth, TX 76244

Phone

(817) 431-7985

Fax

(817) 431-5031

NPI assigned

Oct 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacey Lyn Walden

Title

Practice Manager/ Administrator

Phone

(817) 431-7985

Specialties & licenses 1

Addresses

Other names 2

• Texas ENT Center, PLLC Doing business as
• Texas ENT Center PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberta Jane Burk, AU.D.

  • Audiologist
  • Fort Worth, TX
  • NPI 1659963833
  Medicare reassignment Care Compare group NPD
• Brandon Lee Christianson, M.D.

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1043538564
  Medicare reassignment Care Compare group NPD
• Robyn S Culpepper, AU.D.

  • Audiologist
  • Decatur, TX
  • NPI 1306526959
  Medicare reassignment Care Compare group
• Akhila James, AUD

  • Audiologist
  • Fort Worth, TX
  • NPI 1295306371
  Medicare reassignment Care Compare group
• Kristin Marie Schmidt, AU.D.

  • Audiologist
  • Fort Worth, TX
  • NPI 1003288028
  Medicare reassignment Care Compare group
• Stephen J White, MD

  • Otolaryngology Physician
  • Fort Worth, TX
  • NPI 1144226812
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1316256563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PARKWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446443",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PARKWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "817-431-7985"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "N6768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas ENT Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas ENT Center PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Otolaryngology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.