TIMOTHY L BLACK (MD) – Pediatric Surgery Physician, NPI 1669453940

TIMOTHY L BLACK (MD) is a healthcare provider. based in Fort worth, Texas. specializing in Pediatric Surgery Physician. They hold the professional credentials MD. They hold a License No. H1467 (TX). The NPI Number for TIMOTHY L BLACK (MD) is 1669453940

Main info

Male
Name
TIMOTHY L BLACK (MD)
NPI
1669453940
Phone
(682) 885-4157
Address
PO BOX 99371
Enumeration Date
14 November 2005
Last Update Date
5 November 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for TIMOTHY L BLACK (MD)

  • FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany

    FORT WORTH, TX 761990371

    Phone: (682) 885-4157

    Fax: (682) 885-1903

    Type: Mailing

  • Dodson Specialty Clinics, 1500, Cooper Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042710

    Phone: (682) 885-7080

    Fax: (682) 885-7085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76199)

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Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY L BLACK (MD) in U.S. healthcare records?
The official identifier for TIMOTHY L BLACK (MD) is NPI 1669453940.
Is TIMOTHY L BLACK (MD) still an active registrant?
TIMOTHY L BLACK (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for TIMOTHY L BLACK (MD)?
At a glance, TIMOTHY L BLACK (MD) is tied to Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is TIMOTHY L BLACK (MD) registered?
Use Fort Worth, Texas as the headline location for TIMOTHY L BLACK (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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