HIGHWAY 30 FAMILY MEDICAL CENTER PA NPI 1174581912

NPI Information

HIGHWAY 30 FAMILY MEDICAL CENTER, PA 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. HIGHWAY 30 FAMILY MEDICAL CENTER, PA NPI is 1174581912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 WOODHAVEN BLVD
FORT WORTH, TX
ZIP 76112-376
Phone: (817) 429-8300
Fax: (817) 429-6167

The provider's authorized official is Michael D Hoffman .
The authorized official title is Owner/physician and has the following contact phone number 81742983000.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 4/9/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.