Med Southwest, Pllc
NPI #1992329098 in Fort Worth, Texas
Provider Information
- NPI Number
- 1992329098
- Entity Type
- Organization
- Organization Name
- Med Southwest, Pllc
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 4, 2020
- Last Updated
- May 30, 2022
Practice Location
- Address
- 12457 TIMBERLAND BLVD STE 201
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76244-5211
- Phone
- (817) 741-4177
Authorized Official
- Name
- SUE DOWNES
- Title
- SECRETARY
- Phone
- (703) 847-8899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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