Fort Worth Proctologic Clinic, Pa

NPI 1710217435 - Specialist - 174400000X

NPI Details
NPI 1710217435
Enumeration Date 12/31/2009
Last Updated 12/31/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SOMMAI SOMMAI
Position OWNER
Phone (817) 338-4501
Fax (817) 338-4503
Practice Location
1050 W ROSEDALE ST
FORT WORTH TX, 76104-4422, US
Phone (817) 338-4501
Fax (817) 338-4503
Business Location
1050 W ROSEDALE ST
FORT WORTH TX, 76104-4422, US
Phone (817) 338-4501
Fax (817) 338-4503
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number E1124
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According to our database, Fort Worth Proctologic Clinic, Pa NPI is 1710217435, taxonomy code is 174400000X and license number is E1124, license state is located at Texas. Fort Worth Proctologic Clinic, Pa physically located at 1050 W Rosedale St, Fort Worth TX, 76104-4422. NPI Number 1033115704 has the healthcare provider type.

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1710217435 NPI number is provided on an as is basis without warranty of any kind. 1710217435 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Proctologic Clinic, Pa are for informational purposes only.