Good Doctor Clinic and Urgent Care Pllc

NPI #1992210579 in Ft Worth, Texas

Provider Information

NPI Number: 1992210579
Entity Type: Organization
Organization Name: Good Doctor Clinic and Urgent Care Pllc
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Dec 5, 2017
Last Updated: Apr 27, 2020

Practice Location

Address: 4759 SOUTH FWY STE A
City: Ft Worth
State: Texas
ZIP Code: 76115-3655
Phone: (817) 923-7374

Authorized Official

Name: DR. SUDATH RANNULU, MD
Title: MD
Phone: (972) 296-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X
Pediatrics	208000000X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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