J Mark Bayouth MD PA
NPI #1538922984 in Fort Worth, Texas
Provider Information
- NPI Number
- 1538922984
- Entity Type
- Organization
- Organization Name
- J Mark Bayouth MD PA
- Primary Specialty
- Surgery
- Enumeration Date
- Jan 30, 2024
- Last Updated
- Jan 30, 2024
Practice Location
- Address
- 2600 ALEMEDA ST STE 202
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76108-4042
- Phone
- (817) 727-2022
Authorized Official
- Name
- JOHN BAYOUTH, MD
- Title
- OWNER
- Phone
- (817) 727-2002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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