Brain And Ear Management, LLC
Neurological Surgery in Fort Worth, TX. Organization (NPI-2).
NPI number1689005019
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1689005019
- Entity type
- Organization (NPI-2)
- Legal business name
- Brain And Ear Management, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2013
- Last updated
- Dec 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | M3737 | TX | Yes |
Practice location
500 Throckmorton Street Unit 3012Fort Worth, TX 76102
Phone 817-908-8124 · Fax 817-885-7339
Mailing address
500 Throckmorton Street Unit 3012Fort Worth, TX 76102
Phone 817-908-8124 · Fax 817-885-7339
Authorized official
Anthony Welton Lee
President
8179088124
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