FORT WORTH PROCTOLOGIC CLINIC, PA is a specialist in Fort Worth, TX. The provider is 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. FORT WORTH PROCTOLOGIC CLINIC, PA NPI is 1710217435. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1050 W ROSEDALE ST
FORT WORTH, TX
ZIP 76104-422
Phone: (817) 338-4501
Fax: (817) 338-4503
The provider's authorized official is Sommai Sehapayak .
The authorized official title is Owner and has the following contact phone number (817) 338-4501.
The enumeration date for this NPI number is 12/31/2009 and was last updated on 12/31/2009.