Usrc Tarrant Lp

NPI 1053367763 - Clinic/Center - 261QE0700X

NPI Details
NPI 1053367763
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 VP, GENERAL COUNSEL
Phone (817) 624-7811
Fax (817) 624-6112
Practice Location
1978 EPHRIHAM AVE
FORT WORTH TX, 76164-6670, US
Phone (817) 624-7811
Fax (817) 624-6112
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 008371
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According to our database, Usrc Tarrant Lp NPI is 1053367763, taxonomy code is 261QE0700X and license number is 008371, license state is located at Texas. Usrc Tarrant Lp physically located at 1978 Ephriham Ave, Fort Worth TX, 76164-6670. NPI Number 1033115704 has the healthcare provider type.

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1053367763 NPI number is provided on an as is basis without warranty of any kind. 1053367763 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc Tarrant Lp are for informational purposes only.