2017 Fwuc Medical Professionals Pllc

NPI #1992223085 in Azle, Texas

Provider Information

NPI Number: 1992223085
Entity Type: Organization
Organization Name: 2017 Fwuc Medical Professionals Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 8, 2017
Last Updated: Sep 8, 2017

Practice Location

Address: 601 NORTHWEST PKWY STE C
City: Azle
State: Texas
ZIP Code: 76020-2930
Phone: (817) 270-0777

Authorized Official

Name: MR. JOHN BRAXTON NEIMAN
Title: GENERAL COUNSEL
Phone: (817) 421-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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