Health Texas Provider Network-Family Practice of North Texas LLP
NPI #1114919172 in Fort Worth, Texas
Provider Information
- NPI Number
- 1114919172
- Entity Type
- Organization
- Organization Name
- Health Texas Provider Network-Family Practice of North Texas LLP
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Feb 19, 2008
Practice Location
- Address
- 1001 12TH AVE
- Address 2
- SUITE 130
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-3926
- Phone
- (817) 921-6166
Authorized Official
- Name
- MRS. ELLEN ELIZABETH FOURTON
- Title
- DIRECTOR
- Phone
- (972) 860-8649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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