Individual provider · Type 1 NPI

Mackenzie John Ewart, DO

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1033853833 Active

Practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Call (817) 250-2000 Map

Mailing address

2853 Crockett St Apt 227E
Fort Worth, TX 76107-2993

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033853833

Mackenzie John Ewart, DO's National Provider Identifier is 1033853833, issued on Apr 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 3, 2022.