person
Chanida K Supavong, DO
Family Medicine Physician in Fort Worth, Texas
NPI 1750672218

Chanida K Supavong is a Family Medicine Physician based in Fort Worth, TX. Chanida K Supavong practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Chanida K Supavong is 1750672218 and holds a License No. P5896 (Texas).

The current practice location address for Chanida K Supavong is 5450 Clearfork Main St Ste 460, Fort Worth, TX and can be reached out via phone at 817-423-5121 and via fax at 817-423-5122.

Location: 5450 Clearfork Main St Ste 460, Fort Worth, TX, 76109-3560
person
Provider Profile Details
NPI Number
1750672218
Provider Name
Chanida K Supavong
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
5450 Clearfork Main St Ste 460, Fort Worth, TX, 76109-3560
Phone Number
817-423-5121
Fax Number
817-423-5122
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5450 Clearfork Main St Ste 460
City
State
Zip
76109
Phone Number
817-423-5121
Fax Number
817-423-5122
person
Provider Business Mailing Address Details
Address
5450 Clearfork Main St Ste 460
City
State
Zip
76109
Phone Number
817-423-5121
Fax Number
817-423-5122
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
P5896 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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