H Pena Md North Main Medical And Surgical Clinic Assoc

NPI 1477607240 - General Practice - 208D00000X

NPI Details
NPI 1477607240
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HERIBERTO HERIBERTO
Position PRESIDENT
Phone (817) 625-2791
Fax (817) 740-1550
Practice Location
3301 NORTH MAIN STREET
FORT WORTH TX, 76106, US
Phone (817) 625-2791
Fax (817) 740-1550
Business Location
3301 NORTH MAIN STREET
FORT WORTH TX, 76106, US
Phone (817) 625-2791
Fax (817) 740-1550
Toxanomy
Taxonomy Code 208D00000X
License State Texas
License Number C7083
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According to our database, H Pena Md North Main Medical And Surgical Clinic Assoc NPI is 1477607240, taxonomy code is 208D00000X and license number is C7083, license state is located at Texas. H Pena Md North Main Medical And Surgical Clinic Assoc physically located at 3301 North Main Street, Fort Worth TX, 76106. NPI Number 1033115704 has the healthcare provider type.

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1477607240 NPI number is provided on an as is basis without warranty of any kind. 1477607240 is maintained by the National Plan & Provider Enumeration System. The contents of H Pena Md North Main Medical And Surgical Clinic Assoc are for informational purposes only.