DR. John Licciardone, D.O.
NPI #1407829641 in Fort Worth, Texas
Provider Information
- NPI Number
- 1407829641
- Entity Type
- Individual
- Name
- DR. John Licciardone, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Neuromusculoskeletal Medicine & OMM
- Credential
- D.O.
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Mar 4, 2008
Practice Location
- Address
- UNTHSC PATIENT CARE CENTER
- Address 2
- 999 MONTGOMERY
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76107
- Phone
- (817) 735-2235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine & OMM |
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