Medical Associates of Fort Worth Pllc

NPI #1972007748 in Benbrook, Texas

Provider Information

NPI Number: 1972007748
Entity Type: Organization
Organization Name: Medical Associates of Fort Worth Pllc
Primary Specialty: Family Medicine
Enumeration Date: Mar 19, 2018
Last Updated: Jan 22, 2019

Practice Location

Address: 412 MERCEDES ST STE G
City: Benbrook
State: Texas
ZIP Code: 76126-2558
Phone: (817) 782-9020

Authorized Official

Name: ANWARULLAH MOHAMMED, MD
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (817) 782-9020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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