Mydas PA

NPI #1508296583 in Ft Worth, Texas

Provider Information

NPI Number: 1508296583
Entity Type: Organization
Organization Name: Mydas PA
Primary Specialty: General Practice
Enumeration Date: Nov 12, 2013
Last Updated: Nov 1, 2021

Practice Location

Address: 1500 S MAIN ST
City: Ft Worth
State: Texas
ZIP Code: 76104
Phone: (817) 702-3431

Authorized Official

Name: NESTOR ZENAROSA, MD
Title: PRESIDENT
Phone: (469) 420-5527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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