Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambassador Physician Group LLC

Organization Gerontology Nurse Practitioner · NPI 1598856551

Ambassador Physician Group LLC provides Gerontology Nurse Practitioner services in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6100 Harris Pkwy Ste 250
Fort Worth, TX 76132-4101
Phone: (817) 433-5179
Fax: (817) 433-5177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 363LG0600X (TX)

Record details

NPI number1598856551
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Cain — Chief Operating Officer · (817) 975-4539
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6100 Harris Pkwy, Suite 250, Fort Worth, TX 76132-4101

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