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Dental Boat Club P.c
Preferred Provider Organization in Fort Worth, Texas
NPI 1306112149

Dental Boat Club P.c is a Preferred Provider Organization based in Fort Worth, TX. Dental Boat Club P.c practices in Fort Worth, TX. The NPI Number for Dental Boat Club P.c is 1306112149 and holds a License No. 22593 (Texas).

The current practice location address for Dental Boat Club P.c is 4625 Boat Club Rd, Fort Worth, TX and can be reached out via phone at 817-666-8110. You can also correspond with Dental Boat Club P.c through the mailing address at 4625 BOAT CLUB RD., FORT WORTH, TX - 75135 (mailing address contact number: 817-666-8110).

Location: 4625 Boat Club Rd, Fort Worth, TX, 75135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306112149
Provider Name
Dental Boat Club P.c
Credential
Provider Entity Type
Organization
Address
4625 Boat Club Rd, Fort Worth, TX, 75135
Phone Number
817-666-8110
Fax Number
Provider Enumeration Date
03/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4625 Boat Club Rd
City
Fort Worth
State
Texas
Zip
76135-7022
Phone Number
817-666-8110
Fax Number
person
Provider Business Mailing Address Details
Address
4625 Boat Club Rd
City
Fort Worth
State
Texas
Zip
76135-7022
Phone Number
817-666-8110
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
22593 (Texas)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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