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Centro Medical Guadalupe
Primary Care Clinic/Center in Fort Worth, Texas
NPI 1144508458

Centro Medical Guadalupe is a Primary Care Clinic/Center based in Fort Worth, TX and is specialized in Primary Care. Centro Medical Guadalupe practices in Fort Worth, TX. The NPI Number for Centro Medical Guadalupe is 1144508458 and holds a License No. H4919 (Texas).

The current practice location address for Centro Medical Guadalupe is 1220 N Main St, Fort Worth, TX and can be reached out via phone at 817-378-0777 and via fax at 817-378-9522.

Location: 1220 N Main St, Fort Worth, TX, 76164-9168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144508458
Provider Name
Centro Medical Guadalupe
Credential
Provider Entity Type
Organization
Address
1220 N Main St, Fort Worth, TX, 76164-9168
Phone Number
817-378-0777
Fax Number
817-378-9522
Provider Enumeration Date
08/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1220 N Main St
City
Fort Worth
State
Texas
Zip
76164-9168
Phone Number
817-378-0777
Fax Number
817-378-9522
person
Provider Business Mailing Address Details
Address
1220 N Main St
City
Fort Worth
State
Texas
Zip
76164-9168
Phone Number
817-378-0777
Fax Number
817-378-9522
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
H4919 (Texas)
Definition
Definition to come...
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