Individual provider · Type 1 NPI

Timothy L. Black, MD

Pediatric Surgery Physician · Fort Worth, TX

NPI number 1669453940 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-7080 Map

Fax (682) 885-7085

Mailing address

PO Box 99371
Fort Worth, TX 76199-0371

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XH1467 (TX)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1669453940

Timothy L. Black, MD's National Provider Identifier is 1669453940, issued on Nov 14, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 5, 2012.