West Side Orthopaedic Clinic
NPI #1720031958 in Fort Worth, Texas
Provider Information
- NPI Number
- 1720031958
- Entity Type
- Organization
- Organization Name
- West Side Orthopaedic Clinic
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- May 18, 2006
- Last Updated
- Oct 24, 2007
Practice Location
- Address
- 1002 MONTGOMERY ST
- Address 2
- SUITE 107
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76107-2662
- Phone
- (817) 738-6668
Authorized Official
- Name
- MYRON GLICKFELD, DO
- Title
- OWNER/PHYSICIAN
- Phone
- (817) 738-6668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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