Organization Active NPI

Patricia Roberts Harris DO PLLC

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1366940470
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1186 Issued in TX
Legal business name
PATRICIA ROBERTS HARRIS DO PLLC
Practice address
2529 E Lancaster Ave Ste a
Fort Worth, TX 76103-2253
Phone
(817) 534-7300
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Dr. Patricia L Roberts, DONPI 1053382846
Title
Authorized Official
Phone
(817) 534-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X L1186 TX Primary

Addresses

Primary practice location

2529 E Lancaster Ave Ste a
Fort Worth, TX 76103-2253

Mailing address

2529 E Lancaster Ave Ste a
Fort Worth, TX 76103-2253
Phone (817) 534-7300

Other identifiers 1

IdentifierTypeStateIssuer
L1186OtherTXMEDICAL LIC

Other names 1

  • EXTRA CARE CONCERNS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180215002100 TX Part B Supplier - Clinic/Group Practice 5092073817 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2026821Patricia Roberts Harris DO PLLC2529 E Lancaster Ave Suite a, Fort Worth, TX 76103Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

2525 E Lancaster Ave
Ste a
Fort Worth, TX 76103
Phone (817) 534-7300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1366940470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 E LANCASTER AVE STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032253",
            "telephone_number": "817-534-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 E LANCASTER AVE STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032253",
            "telephone_number": "817-534-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA ROBERTS HARRIS DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-534-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "L1186",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTRA CARE CONCERNS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "EXTRA CARE CONCERNS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.