Alliance Primary Care Assoc Pllc

NPI #1912260506 in Fort Worth, Texas

Provider Information

NPI Number: 1912260506
Entity Type: Organization
Organization Name: Alliance Primary Care Assoc Pllc
Primary Specialty: Pediatrics
Enumeration Date: Jun 19, 2012
Last Updated: Aug 16, 2016

Practice Location

Address: 12461 TIMBERLAND BLVD
Address 2: SUITE 309
City: Fort Worth
State: Texas
ZIP Code: 76244-5213
Phone: (817) 741-5437

Authorized Official

Name: BRUCE MARTIN, M.D.
Title: CEO
Phone: (817) 741-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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