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William Resto-rivera, MD
Military Health Care Provider in Fort Worth, Texas
NPI 1194022566

William Resto-rivera is a Military Health Care Provider based in Fort Worth, TX. William Resto-rivera practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for William Resto-rivera is 1194022566 and holds a License No. 4301084915 (Texas).

The current practice location address for William Resto-rivera is J Street Bldg 3000, Fort Worth, TX and can be reached out via phone at 817-782-4606 and via fax at 817-782-4627.

Location: J Street Bldg 3000, Fort Worth, TX, 76127-0066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194022566
Provider Name
William Resto-rivera
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
J Street Bldg 3000, Fort Worth, TX, 76127-0066
Phone Number
817-782-4606
Fax Number
817-782-4627
Provider Enumeration Date
02/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
J Street Bldg 3000
City
Fort Worth
State
Texas
Zip
76127-0066
Phone Number
817-782-4606
Fax Number
817-782-4627
person
Provider Business Mailing Address Details
Address
J Street Bldg 3000
City
Fort Worth
State
Texas
Zip
76127-0066
Phone Number
817-782-4606
Fax Number
817-782-4627
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
4301084915 (Michigan)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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