Fci Fort Worth
NPI #1346592029 in Forest Hill, Texas
Provider Information
- NPI Number
- 1346592029
- Entity Type
- Organization
- Organization Name
- Fci Fort Worth
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 5, 2012
- Last Updated
- Oct 5, 2012
Practice Location
- Address
- 3150 HORTON RD
- City
- Forest Hill
- State
- Texas
- ZIP Code
- 76119-5905
- Phone
- (817) 534-8400
Authorized Official
- Name
- VERONICA KAETHER
- Title
- SCS
- Phone
- (817) 534-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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