Organization Active NPI

F W Family Practice PA

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1568787182
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
F W FAMILY PRACTICE PA
Practice address
3256 Lackland Rd
Fort Worth, TX 76116-5307
Phone
(817) 297-4455
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Raja Saade, M.D.
Title
Owner
Phone
(817) 297-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3256 Lackland Rd
Fort Worth, TX 76116-5307

Mailing address

3256 Lackland Rd
Fort Worth, TX 76116-5307
Phone (817) 297-4455

National Provider Directory

National Provider Directory

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": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1568787182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "817-297-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 LACKLAND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165307",
            "telephone_number": "817-297-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F W FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "SAADE",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-297-4455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.