Alliance Heritage Trace PLLC
NPI 1689922627ActiveOrganization· Pediatrics· Fort Worth, TX
Pediatrics in Fort Worth, Texas, registered in NPPES in August 2012. The authorized official on file is Bruce David Martin, MD, Owner.
Overview
| NPI | 1689922627 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2012 |
| Last updated in NPPES | Oct 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | L8824 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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