Individual provider · Type 1 NPI

Chanida K. Supavong, DO

Family Medicine Physician · Fort Worth, TX

NPI number 1750672218 Active

Practice location

5450 Clearfork Main St Ste 460
Fort Worth, TX 76109

Call (817) 423-5121 Map

Fax (817) 423-5122

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XP5896 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1750672218

Chanida K. Supavong, DO's National Provider Identifier is 1750672218, issued on May 2, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 25, 2018.