Organization · Type 2 NPI

Fort Worth Proctologic Clinic, PA

Specialist · Fort Worth, TX

NPI number 1710217435 Active

Practice location

1050 W Rosedale St
Fort Worth, TX 76104-4422

Call (817) 338-4501 Map

Fax (817) 338-4503

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE1124 (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.

3 other providers at this address

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About NPI 1710217435

Fort Worth Proctologic Clinic, PA's National Provider Identifier is 1710217435, issued on Dec 31, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 31, 2009.