Organization · Type 2 NPI
Superior Evaluation Services
General Practice Physician · Fort Worth, TX
NPI number
1093134512
Active
Practice location
420 Throckmorton Suite 200
Fort Worth, TX 76102
Fax (888) 575-0212
Mailing address
4040 Alava Dr
Fort Worth, TX 76133-5555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1093134512
Superior Evaluation Services's National Provider Identifier is 1093134512, issued on Apr 11, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 11, 2014.