FORT WORTH PERSONAL MEDICINE PLLC NPI 1609220367

NPI Information

NPI: 1609220367
Provider Name: FORT WORTH PERSONAL MEDICINE, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4545 BELLAIRE DR S
SUITE 2
FORT WORTH, TX
ZIP 76109
Phone: (682) 202-4585
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FORT WORTH PERSONAL MEDICINE, PLLC is a primary care clinic center in Fort Worth, TX. FORT WORTH PERSONAL MEDICINE, PLLC NPI is 1609220367. The provider is registered as an organization entity type.

The provider's business location address is:

4545 BELLAIRE DR S
SUITE 2
FORT WORTH, TX
ZIP 76109-889
Phone: (682) 202-4585

The provider's authorized official is Stephen Daniel Ake .
The authorized official title is Ceo/provider and has the following contact phone number (682) 202-4585.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 4/19/2016.

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
1	261QP2300X	Clinic/Center	Primary Care	P9785	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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