Branch Medical Clinic Ft Worth
NPI #1114986932 in Naval Air Station/ Jrb, Texas
Provider Information
- NPI Number
- 1114986932
- Entity Type
- Organization
- Organization Name
- Branch Medical Clinic Ft Worth
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NAVAL HEALTH CLINIC CORPUS CHRISTI
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Mar 21, 2006
- Last Updated
- May 25, 2018
Practice Location
- Address
- 1711 DOOLITTLE AVE
- State
- Texas
- ZIP Code
- 76127
- Phone
- (361) 961-6079
Authorized Official
- Name
- WILLIAM M CONDON
- Title
- BUMED UBO
- Phone
- (240) 401-3643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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