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Jacob Lustgarten is one of 509 physician assistants practicing in Fort Worth, Texas .
Jacob Lustgarten practices with Chisholm Trail Orthopedics And Sports Medicine, LLLP.
Registry record (NPPES)
NPI
1467869982
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
1500 Cooper St Fort Worth, TX 76104-2710 (682) 885-7080
Enumerated
Jul 16, 2014
Record last updated
Apr 13, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
5540 Sycamore School Rd Suite 312
Fort Worth , TX 76123
(817) 556-3212
2010 W Katherine P Raines Rd Suite 300
Cleburne , TX 76033
8175563212201
2010 W Katherine P Raines Rd Suite 300
Creburne, TX 76033
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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