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Purple Amphibian, Llc
Surgical Physician Assistant in Fort Worth, Texas
NPI 1881850295

Purple Amphibian, Llc is a Surgical Physician Assistant based in Fort Worth, TX and is specialized in Surgical. Purple Amphibian, Llc practices in Fort Worth, TX. The NPI Number for Purple Amphibian, Llc is 1881850295 and holds a License No. 648218 (Texas).

The current practice location address for Purple Amphibian, Llc is 7451 Chapel Ave, Fort Worth, TX and can be reached out via phone at 817-926-2544.

Location: 7451 Chapel Ave, Fort Worth, TX, 76113-2626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881850295
Provider Name
Purple Amphibian, Llc
Credential
Provider Entity Type
Organization
Address
7451 Chapel Ave, Fort Worth, TX, 76113-2626
Phone Number
817-926-2544
Fax Number
Provider Enumeration Date
08/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0025KE 01 TX BCBS TX
institution
Provider Business Practice Location Address Details
Address
7451 Chapel Ave
City
Fort Worth
State
Texas
Zip
76116-7090
Phone Number
817-926-2544
Fax Number
person
Provider Business Mailing Address Details
Address
7451 Chapel Ave
City
Fort Worth
State
Texas
Zip
76116-7090
Phone Number
817-926-2544
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
648218 (Texas)
Definition
Definition to come...
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