Fort Worth Medtex Lp

NPI 1780969881 - Clinic/Center - 261QX0100X

NPI Details
NPI 1780969881
Enumeration Date 10/20/2011
Last Updated 10/20/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JAMES JAMES
Position QWNER
Phone (817) 924-4700
Fax (817) 924-4703
Practice Location
1307 8TH AVE
SUITE 603
FORT WORTH TX, 76104-4137, US
Phone (817) 924-4700
Fax (817) 924-4703
Business Location
1034 S BRENTWOOD BLVD
SUITE 1250
SAINT LOUIS MO, 63117-1223, US
Phone (817) 924-4700
Fax (817) 924-4703
Toxanomy
Taxonomy Code 261QX0100X
License State
License Number
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According to our database, Fort Worth Medtex Lp NPI is 1780969881, taxonomy code is 261QX0100X Fort Worth Medtex Lp physically located at 1307 8th Ave, Fort Worth TX, 76104-4137. NPI Number 1033115704 has the healthcare provider type.

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1780969881 NPI number is provided on an as is basis without warranty of any kind. 1780969881 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Medtex Lp are for informational purposes only.