Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Forth Worth Surgical Associates PA

Surgery Physician in Fort Worth, TX · enumerated 2005 · authorized official William Pettey, Owner.

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

National Provider Identifier

1679561641

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Registry record

Entity type Organization (Type 2)

Legal business name Forth Worth Surgical Associates PA

Practice address 6100 Harris Pkwy, #390, Fort Worth, TX, 76132

Phone (817) 370-9011

Fax (817) 346-0380

Enumeration date Oct 12, 2005

Last updated in NPPES Nov 28, 2007

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License G8340 (TX) Primary

Authorized official

Name William Pettey

Title Owner

Phone (817) 370-9011

Other identifiers

Identifier	Type	State	Issuer
91159	Other	-	AMERIGROUP
4254295	Other	-	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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-28. Verify at npiregistry.cms.hhs.gov.

Where is Forth Worth Surgical Associates PA located?

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

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-28.