Triple J Group Inc

NPI 1225223746 - Optometrist - 152W00000X

NPI Details
NPI 1225223746
Enumeration Date 09/07/2007
Last Updated 06/02/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AMANDA AMANDA
Position MEDICAL COORDINATOR
Phone (817) 428-2020
Fax (817) 656-1900
Practice Location
5421 BASSWOOD BLVD STE 740
FORT WORTH TX, 76137, US
Phone (817) 428-2020
Fax (817) 656-1900
Business Location
5421 BASSWOOD BLVD STE 740
FORT WORTH TX, 76137, US
Phone (817) 428-2020
Fax (972) 293-7157
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 6177
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According to our database, Triple J Group Inc NPI is 1225223746, taxonomy code is 152W00000X and license number is 6177, license state is located at Texas. Triple J Group Inc physically located at 5421 Basswood Blvd Ste 740, Fort Worth TX, 76137. NPI Number 1033115704 has the healthcare provider type.

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1225223746 NPI number is provided on an as is basis without warranty of any kind. 1225223746 is maintained by the National Plan & Provider Enumeration System. The contents of Triple J Group Inc are for informational purposes only.