Fort Worth Speech And Lactation Llc is a
Lactation Consultant, Non-rn based in Fort Worth, Texas. Fort Worth Speech And Lactation Llc is licensed to practice in NU (license number ) and their current practice location is
12800 Portifino St, Fort Worth, Texas. It can be reached at their office (for appointments etc.) via phone at
(817) 253-9878.
NPI number for Fort Worth Speech And Lactation Llc is 1073469110 and their current mailing address is 12800 Portifino St, Fort Worth, Texas. Fort Worth Speech And Lactation Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073469110.
Healthcare Provider's Profile
| Full Name | Fort Worth Speech And Lactation Llc |
|---|
| Type | Facility |
|---|
| Speciality | Lactation Consultant, Non-rn |
|---|
| Location | 12800 Portifino St, Fort Worth, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073469110
- Provider Enumeration Date: 03/10/2026
- Last Update Date: 03/10/2026
Medical Identifiers
Medical identifiers for Fort Worth Speech And Lactation Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073469110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| 174N00000X | Lactation Consultant, Non-rn | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fort Worth Speech And Lactation Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Fort Worth Speech And Lactation Llc 12800 Portifino St, Fort Worth, TX 76126-6108 Ph: (817) 253-9878 | Fort Worth Speech And Lactation Llc 12800 Portifino St, Fort Worth, TX 76126-6108 Ph: (817) 253-9878 |
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