Individual provider · Type 1 NPI

Jose Nellikappallil, MD

Emergency Medicine Physician · Fort Worth, TX

NPI number 1124777255 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Call (817) 702-8840 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XV2180 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1124777255

Jose Nellikappallil, MD's National Provider Identifier is 1124777255, issued on Mar 23, 2022. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 28, 2026.