JOHN LICCIARDONE D.O. – NPI #1407829641
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

JOHN LICCIARDONE is a physician located in FORT WORTH, TX. NPPES has assigned the NPI number 1407829641 to JOHN LICCIARDONE on February 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

The NPI profile was previously updated about 18 years ago on Mar 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN LICCIARDONE below.

NPI Profile for
JOHN LICCIARDONE

NPI Number
1407829641
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN LICCIARDONE
Credentials
D.O.
Primary location
UNTHSC PATIENT CARE CENTER
999 MONTGOMERY
FORT WORTH, TX 76107
Phone: (817) 735-2235 Fax: (817) 735-2480
Mailing address
UNTHSC DEPT. OF QUALITY MANAGEMENT
3500 CAMP BOWIE BLVD., EAD 324
FORT WORTH, TX 76107
Phone: (817) 735-0170 Fax: (817) 735-0111
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)
TX H3103

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.