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Fort Worth Clinic Specialty Care PLLC

Surgery in North Richland Hills, TX. Organization (NPI-2).

NPI number1760635346
StatusActive
Last updated in NPPESFeb 23, 2009

Details

NPI
1760635346
Entity type
Organization (NPI-2)
Legal business name
Fort Worth Clinic Specialty Care PLLC
Organization subpart
No
Enumeration date
Oct 28, 2008
Last updated
Feb 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryF2508TXYes

Practice location

9003 Airport Freeway
Suite 300
North Richland Hills, TX 76180-9628

Phone 817-514-5200 · Fax 817-514-5210

Mailing address

909 Ninth Avenue
Suite 300
Fort Worth, TX 76104-3917

Phone 817-336-7191 · Fax 817-332-3172

Authorized official

George Jay Zimmerman
Sole Mbr
8173367191

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