IDK TECHNOLOGIES CORPORATION NPI 1144077702

NPI Information

  • NPI: 1144077702
  • Provider Name: IDK TECHNOLOGIES CORPORATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3848 N TARRANT PKWY STE 150
    FORT WORTH, TX
    ZIP 76244
  • Phone: (817) 576-4729

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NPI Details

IDK TECHNOLOGIES CORPORATION 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. IDK TECHNOLOGIES CORPORATION NPI is 1144077702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3848 N TARRANT PKWY STE 150
FORT WORTH, TX
ZIP 76244-424
Phone: (817) 576-4729

The provider's authorized official is Monica Boyd .
The authorized official title is Ceo and has the following contact phone number (817) 576-4729.

The enumeration date for this NPI number is 5/2/2024 and was last updated on 5/2/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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