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Southwest Internal Medicine PA

Internal Medicine in Fort Worth, TX. Organization (NPI-2).

NPI number1114255106
StatusActive
Last updated in NPPESDec 2, 2009

Details

NPI
1114255106
Entity type
Organization (NPI-2)
Legal business name
Southwest Internal Medicine PA
Organization subpart
No
Enumeration date
Dec 2, 2009
Last updated
Dec 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMO229TXYes

Practice location

5317 Quail Feather Dr
Fort Worth, TX 76123-2956

Phone 817-800-3196

Mailing address

5317 Quail Feather Dr
Fort Worth, TX 76123-2956

Phone 817-800-3196

Authorized official

Ramu Rangineni
Physician
8173869818

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