Fort Worth Lung Clinic, PA

NPI #1558655274 in Burleson, Texas

Provider Information

NPI Number
1558655274
Entity Type
Organization
Organization Name
Fort Worth Lung Clinic, PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 31, 2011
Last Updated
Feb 19, 2025

Practice Location

Address
11803 SOUTH FWY STE 136
State
Texas
ZIP Code
76028-8460
Phone
(817) 568-8411

Authorized Official

Name
DEREJE SAHEL AYO, MD
Title
PRESIDENT
Phone
(817) 739-1080

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

Additional Practice Locations

800 8th Ave Ste 412

Fort Worth, TX, 76104-2618

(817) 336-8773

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