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Fort Worth Diagnostic Clinic Pa
Specialist in Fort Worth, Texas
NPI 1669665774

Fort Worth Diagnostic Clinic Pa is a Specialist based in Fort Worth, TX. Fort Worth Diagnostic Clinic Pa practices in Fort Worth, TX. The NPI Number for Fort Worth Diagnostic Clinic Pa is 1669665774 and holds a License No. E8262 (Texas).

The current practice location address for Fort Worth Diagnostic Clinic Pa is 1650 W Rosedale St Ste 100, Fort Worth, TX and can be reached out via phone at 817-338-1131 and via fax at 817-877-1511.

Location: 1650 W Rosedale St Ste 100, Fort Worth, TX, 76104-7400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669665774
Provider Name
Fort Worth Diagnostic Clinic Pa
Credential
Provider Entity Type
Organization
Address
1650 W Rosedale St Ste 100, Fort Worth, TX, 76104-7400
Phone Number
817-338-1131
Fax Number
817-877-1511
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
083588601 05 TX
institution
Provider Business Practice Location Address Details
Address
1650 W Rosedale St Ste 100
City
Fort Worth
State
Texas
Zip
76104-7400
Phone Number
817-338-1131
Fax Number
817-877-1511
person
Provider Business Mailing Address Details
Address
1650 W Rosedale St Ste 100
City
Fort Worth
State
Texas
Zip
76104-7400
Phone Number
817-338-1131
Fax Number
817-877-1511
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E8262 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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