Edge-Md Meadowbrook, Pllc

NPI #1134526007 in Fort Worth, Texas

Provider Information

NPI Number
1134526007
Entity Type
Organization
Organization Name
Edge-Md Meadowbrook, Pllc
Primary Specialty
Family Medicine
Enumeration Date
Nov 20, 2014
Last Updated
Jan 13, 2015

Practice Location

Address
6302 MEADOWBROOK DR
Address 2
SUITE 112
State
Texas
ZIP Code
76112-5162
Phone
(817) 446-0800

Authorized Official

Name
NATHAN P. NGUYEN, MD
Title
MD/OWNER
Phone
(979) 532-2000

Specialties & Taxonomy Codes

Specialty
Family Medicine

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