Individual provider · Type 1 NPI

John Licciardone, DO

Neuromusculoskeletal Medicine & OMM Physician · Fort Worth, TX

NPI number 1407829641 Active

Practice location

Unthsc Patient Care Center, 999 Montgomery
Fort Worth, TX 76107

Fax (817) 735-2480

Mailing address

Unthsc Dept. Of Quality Management, 3500 Camp Bowie Blvd., Ead 324
Fort Worth, TX 76107

Specialties and licenses

TaxonomyCodeLicense
Neuromusculoskeletal Medicine & OMM Physician Primary 204D00000XH3103 (TX)

Neuromusculoskeletal Medicine & OMM Physician: The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and …

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About NPI 1407829641

John Licciardone, DO's National Provider Identifier is 1407829641, issued on Feb 8, 2006. The primary taxonomy on file is Neuromusculoskeletal Medicine & OMM Physician (204D00000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 4, 2008.