The Fort Worth Clinic PA

NPI #1366442931 in Fort Worth, Texas

Provider Information

NPI Number: 1366442931
Entity Type: Organization
Organization Name: The Fort Worth Clinic PA
Primary Specialty: Clinic/Center
Enumeration Date: Jul 26, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 909 9TH AVE
Address 2: STE 300
City: Fort Worth
State: Texas
ZIP Code: 76104-3903
Phone: (817) 336-7191

Authorized Official

Name: THOMAS HIGHFIELD
Title: ADMINISTRATOR
Phone: (817) 336-7191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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