Chisholm Trail Oral Surgery Pllc | |
7040 Harris Pkwy Ste 140 Fort Worth TX 76132-4218 | |
(903) 530-7382 | |
Not Available |
Full Name | Chisholm Trail Oral Surgery Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 7040 Harris Pkwy Ste 140, Fort Worth, Texas |
Authorized Official Name and Position | Craig Harrison (OWNER / PROVIDER) |
Authorized Official Contact | 8174844778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chisholm Trail Oral Surgery Pllc 4137 Trails End Dr Apt 2018 Fort Worth TX 76116-0785 Ph: (903) 530-7382 | Chisholm Trail Oral Surgery Pllc 7040 Harris Pkwy Ste 140 Fort Worth TX 76132-4218 Ph: (903) 530-7382 |
NPI Number | 1811733769 |
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Provider Enumeration Date | 07/01/2024 |
Last Update Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811733769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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