FORT WORTH ENTP.A. NPI 1336353366

NPI Information

FORT WORTH ENT,P.A. 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 ENT,P.A. NPI is 1336353366. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Fort Worth Ent, Pa.

The provider's business location address is:

1250 8TH AVE
SUITE 135
FORT WORTH, TX
ZIP 76104
Phone: (817) 335-8151
Fax: (817) 335-2670

The provider's authorized official is Vicky L. Vanvleck .
The authorized official title is Practice Manager and has the following contact phone number (817) 335-8151.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 1/24/2011.

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

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