Banjo Acute General Surgery PLLC
Surgery in Fort Worth, TX. Organization (NPI-2).
NPI number1689063232
StatusActive
Last updated in NPPESJan 21, 2015
Details
- NPI
- 1689063232
- Entity type
- Organization (NPI-2)
- Legal business name
- Banjo Acute General Surgery PLLC
- Organization subpart
- No
- Enumeration date
- Jan 21, 2015
- Last updated
- Jan 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 2086S0127X | Surgery, Trauma Surgery | – | – |
Practice location
3101 N Tarrant PkwyFort Worth, TX 76177-8601
Phone 469-401-2386
Mailing address
13737 Noel RdSte 1600
Dallas, TX 75240-1331
Phone 469-401-2386 · Fax 214-712-2444
Authorized official
William Jernberg
President
4694012386
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