Usrc Sw Ft Worth Lp

NPI 1023064623 - Clinic/Center - 261QE0700X

NPI Details
NPI 1023064623
Enumeration Date 05/25/2006
Last Updated 10/28/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS L THOMAS
Position VICE-PRESIDENT AND GENERAL COUNSEL
Phone (817) 370-7830
Fax (817) 370-1927
Practice Location
5127 OLD GRANBURY RD
FORT WORTH TX, 76133-2017, US
Phone (817) 370-7830
Fax (817) 370-1927
Business Location
PO BOX 952074
DALLAS TX, 75395-2074, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State Texas
License Number 008443
Remove 1023064623 NPI Number
 

According to our database, Usrc Sw Ft Worth Lp NPI is 1023064623, taxonomy code is 261QE0700X and license number is 008443, license state is located at Texas. Usrc Sw Ft Worth Lp physically located at 5127 Old Granbury Rd, Fort Worth TX, 76133-2017. NPI Number 1033115704 has the healthcare provider type.

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1023064623 NPI number is provided on an as is basis without warranty of any kind. 1023064623 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc Sw Ft Worth Lp are for informational purposes only.