Organization · Type 2 NPI

Wholelife Authentic Care Provider Network

General Practice Physician · Fort Worth, TX

NPI number 1386200889 Active

Practice location

1000 Bonnie Brae Ave Ste 120
Fort Worth, TX 76111-4301

Call (817) 706-3128 Map

Mailing address

PO Box 11043
Fort Worth, TX 76110-0043

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
General Practice Physician Primary 208D00000XNone 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 1386200889

Wholelife Authentic Care Provider Network's National Provider Identifier is 1386200889, issued on May 10, 2019. 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 Jun 10, 2022.