C M Persons M D P a
NPI #1891090155 in Fort Worth, Texas
Provider Information
- NPI Number
- 1891090155
- Entity Type
- Organization
- Organization Name
- C M Persons M D P a
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jan 18, 2011
- Last Updated
- Oct 16, 2013
Practice Location
- Address
- 4625 BOAT CLUB RD
- Address 2
- STE: 253
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76135-7022
- Phone
- (817) 399-1622
Authorized Official
- Name
- KELLY M PERSONS, CRNFA
- Title
- NURSE
- Phone
- (817) 399-1622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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