Organization · Type 2 NPI

Dynamic Rpa Healthcare PA

Primary Care Clinic/Center · Fort Worth, TX

NPI number 1790100550 Active

Practice location

6901 Mccart Ave, # 200
Fort Worth, TX 76133-6377

Fax (817) 294-9600

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XH7354 (TX)
Physician Assistant 363A00000XPA05609 (TX)

Primary Care Clinic/Center: Definition to come...

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About NPI 1790100550

Dynamic Rpa Healthcare PA's National Provider Identifier is 1790100550, issued on Mar 3, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 3, 2014.