Usrc East Ft Worth Lp

NPI 1689980419 - Clinic/Center - 261QE0700X

NPI Details
NPI 1689980419
Enumeration Date 08/31/2010
Last Updated 10/28/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THOMAS L. THOMAS
Position AUTHORIZED REPRESENTATIVE
Phone (817) 888-3015
Fax (817) 888-3021
Practice Location
6450 BRENTWOOD STAIR RD
FORT WORTH TX, 76112-3239, US
Phone (817) 888-3015
Fax (817) 888-3021
Business Location
PO BOX 19119
JONESBORO AR, 72403-6601, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
Remove 1689980419 NPI Number
 

According to our database, Usrc East Ft Worth Lp NPI is 1689980419, taxonomy code is 261QE0700X Usrc East Ft Worth Lp physically located at 6450 Brentwood Stair Rd, Fort Worth TX, 76112-3239. NPI Number 1033115704 has the healthcare provider type.

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1689980419 NPI number is provided on an as is basis without warranty of any kind. 1689980419 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc East Ft Worth Lp are for informational purposes only.