Kenneth Dean Archer MD

NPI 1083654123 - Family Medicine - 207Q00000X

NPI Details
NPI 1083654123
Gender Male
Enumeration Date 06/07/2006
Last Updated 05/25/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
7630 N BEACH ST STE 140
FORT WORTH TX, 76137-3016, US
Phone (817) 281-2977
Fax (817) 788-2530
Business Location
7630 N BEACH ST STE 140
FORT WORTH TX, 76137-3016, US
Phone (817) 281-2977
Fax (817) 788-2530
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number L7965
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According to our database, Kenneth Dean Archer MD NPI is 1083654123, taxonomy code is 207Q00000X and license number is L7965, license state is located at Texas. Kenneth Dean Archer MD physically located at 7630 N Beach St Ste 140, Fort Worth TX, 76137-3016. NPI Number Kenneth Dean Archer MD has the Individual type.

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1083654123 NPI number is provided on an as is basis without warranty of any kind. 1083654123 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Dean Archer MD are for informational purposes only.