institution
Fort Worth Lung Clinic, Pa
Primary Care Clinic/Center in Burleson, Texas
NPI 1558655274

Fort Worth Lung Clinic, Pa is a Primary Care Clinic/Center based in Fort Worth, TX and is specialized in Primary Care. Fort Worth Lung Clinic, Pa practices in Burleson, TX. The NPI Number for Fort Worth Lung Clinic, Pa is 1558655274 and holds a License No. N0617 (Texas).

The current practice location address for Fort Worth Lung Clinic, Pa is 11803 South Fwy Ste 311, Burleson, TX and can be reached out via phone at 817-568-8411 and via fax at 817-568-8414.

Location: 11803 South Fwy Ste 311, Burleson, TX, 76162-0284
institution
Provider Profile Details
NPI Number
1558655274
Provider Name
Fort Worth Lung Clinic, Pa
Credential
Provider Entity Type
Organization
Address
11803 South Fwy Ste 311, Burleson, TX, 76162-0284
Phone Number
817-568-8411
Fax Number
817-568-8414
Provider Enumeration Date
05/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N0617 01 TX LICENCE
institution
Provider Business Practice Location Address Details
Address
11803 South Fwy Ste 311
City
State
Zip
76028-7036
Phone Number
817-568-8411
Fax Number
817-568-8414
person
Provider Business Mailing Address Details
Address
11803 South Fwy Ste 311
City
State
Zip
76028-7036
Phone Number
817-568-8411
Fax Number
817-568-8414
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
N0617 (Texas)
Definition
Definition to come...
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