Organization · Type 2 NPI

Purple Amphibian, LLC

Surgical Physician Assistant · Fort Worth, TX

NPI number 1881850295 Active

Practice location

7451 Chapel Ave
Fort Worth, TX 76116-7090

Call (817) 926-2544 Map

Mailing address

PO Box 2626
Fort Worth, TX 76113-2626

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X648218 (TX)

Surgical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1881850295

Purple Amphibian, LLC's National Provider Identifier is 1881850295, issued on Aug 5, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 17, 2011.