Organization · Type 2 NPI
Fort Worth Diagnostic Clinic PA
Specialist · Fort Worth, TX
NPI number
1669665774
Active
Practice location
1650 W Rosedale St Ste 100
Fort Worth, TX 76104-7400
Fax (817) 877-1511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | E8262 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1669665774
Fort Worth Diagnostic Clinic PA's National Provider Identifier is 1669665774, issued on Aug 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 17, 2015.