FORT WORTH HEALTH ALLIANCE LLC NPI 1376053215

NPI Information

FORT WORTH HEALTH ALLIANCE, LLC is a general practice in Fort Worth, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FORT WORTH HEALTH ALLIANCE, LLC NPI is 1376053215. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3625 WESTERN CENTER BLVD
FORT WORTH, TX
ZIP 76137-936
Phone: (817) 498-7333

The provider's authorized official is Gideon Traweek .
The authorized official title is Authorized Official and has the following contact phone number (817) 498-7333.

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.

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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