LOW TESTOSTERONE MEN'S CLINIC FW LLC NPI 1063895985

NPI Information

LOW TESTOSTERONE MEN'S CLINIC FW, LLC is a family medicine in Fort Worth, TX. The provider is 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. LOW TESTOSTERONE MEN'S CLINIC FW, LLC NPI is 1063895985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6115 CAMP BOWIE BLVD STE 140
FORT WORTH, TX
ZIP 76116-500
Phone: (817) 416-5698

The provider's authorized official is Ivonne Herlinda Braxton .
The authorized official title is Managing Member and has the following contact phone number (817) 416-5698.

The CLIA number assigned to this NPI record is 45D2044214 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 6/16/2020.

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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