PRO PHYSICIAN CLINIC PA NPI 1225289739

NPI Information

PRO PHYSICIAN CLINIC PA is a radiation oncology radiology in Fort Worth, TX. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. PRO PHYSICIAN CLINIC PA NPI is 1225289739. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 W MAGNOLIA AVE
FORT WORTH, TX
ZIP 76104-611
Phone: (817) 886-8730

The provider's authorized official is Jon Tryggestad .
The authorized official title is Manager and has the following contact phone number (817) 886-8730.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 10/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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