Organization · Type 2 NPI

Mydas PA

General Practice Physician · Fort Worth, TX

NPI number 1508296583 Active

Practice location

1500 S Main St
Fort Worth, TX 76104

Mailing address

PO Box 650823
Dallas, TX 75265-0823

Specialties and licenses

TaxonomyCodeLicense
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 1508296583

Mydas PA's National Provider Identifier is 1508296583, issued on Nov 12, 2013. 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 Nov 1, 2021.