Forth Worth Surgical Associates PA

NPI #1679561641 in Fort Worth, Texas

Provider Information

NPI Number
1679561641
Entity Type
Organization
Organization Name
Forth Worth Surgical Associates PA
Primary Specialty
Surgery
Enumeration Date
Oct 12, 2005
Last Updated
Nov 28, 2007

Practice Location

Address
6100 HARRIS PKWY
Address 2
#390
State
Texas
ZIP Code
76132-4128
Phone
(817) 370-9011

Authorized Official

Name
WILLIAM ROBERT PETTEY, MD
Title
OWNER
Phone
(817) 370-9011

Specialties & Taxonomy Codes

Specialty
Surgery

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