Fort Worth Internal Medicine

NPI 1851432462 - Internal Medicine - 207R00000X

NPI Details
NPI 1851432462
Enumeration Date 02/08/2007
Last Updated 06/17/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ADEBOLA SULAIMAN ADEBOLA
Position DIRECTOR
Phone (817) 386-9818
Fax
Practice Location
654 SAINT LOUIS AVE
FORT WORTH TX, 76104-3358, US
Phone (817) 386-9818
Fax
Business Location
654 SAINT LOUIS AVE
FORT WORTH TX, 76104-3358, US
Phone (817) 386-9818
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number L9833
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According to our database, Fort Worth Internal Medicine NPI is 1851432462, taxonomy code is 207R00000X and license number is L9833, license state is located at Texas. Fort Worth Internal Medicine physically located at 654 Saint Louis Ave, Fort Worth TX, 76104-3358. NPI Number 1033115704 has the healthcare provider type.

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1851432462 NPI number is provided on an as is basis without warranty of any kind. 1851432462 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Internal Medicine are for informational purposes only.