Low Testosterone Men's Clinic Fw, LLC
NPI #1063895985 in Fort Worth, Texas
Provider Information
- NPI Number
- 1063895985
- Entity Type
- Organization
- Organization Name
- Low Testosterone Men's Clinic Fw, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 9, 2015
- Last Updated
- Jun 16, 2020
Practice Location
- Address
- 6115 CAMP BOWIE BLVD STE 140
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76116-5500
- Phone
- (817) 416-5698
Authorized Official
- Name
- MS. IVONNE HERLINDA BRAXTON, MS,FNP-BC
- Title
- MANAGING MEMBER
- Phone
- (817) 416-5698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Family Medicine |
Additional Practice Locations
6213 Colleyville Blvd
Ste 100
Colleyville, TX, 76034-6436
(817) 416-5698
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