Organization · Type 2 NPI
Centrum Medical Group, PLLC
General Practice Physician · Fort Worth, TX
NPI number
1710630074
Active
Practice location
5801 Golden Triangle Blvd Ste 101
Fort Worth, TX 76244-4411
Fax (786) 558-0242
Mailing address
9250 NW 36th St Ste 420
Doral, FL 33178-2775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None 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 1710630074
Centrum Medical Group, PLLC's National Provider Identifier is 1710630074, issued on Jan 27, 2022. 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 Jan 27, 2022.