Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Surgical Associates of Ft. Worth, P. A.

Pediatric Surgery Physician in Fort Worth, TX · enumerated 2005 · authorized official Debra Lockett, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538140710

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Surgical Associates of Ft. Worth, P. A.

Practice address 901 7th Ave, Suite 210, Fort Worth, TX, 76104

Phone (817) 336-7881

Fax (817) 336-6821

Enumeration date Nov 7, 2005

Last updated in NPPES Jun 17, 2010

Taxonomy & classification

2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Debra Lockett

Title Administrator

Phone (817) 336-7881

Other identifiers

Identifier	Type	State	Issuer
112632802	Medicaid	TX	-
112632804	Medicaid	TX	-
4641193	Other	TX	AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pediatric Surgical Associates of Ft. Worth, P. A. located?

The practice location on file with NPPES is in Fort Worth, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-06-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-17.