| Ft Worth Neurology Consultants Pa | |
|
1307 8th Ave Suite 301 Fort Worth TX 76104-4137 | |
| (817) 920-0900 | |
| (817) 920-0969 |
| Full Name | Ft Worth Neurology Consultants Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1307 8th Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Shirley A Molenich (OWNER) |
| Authorized Official Contact | 8179200900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft Worth Neurology Consultants Pa 1307 8th Ave Suite 301 Fort Worth TX 76104-4137 Ph: (817) 920-0900 | Ft Worth Neurology Consultants Pa 1307 8th Ave Suite 301 Fort Worth TX 76104-4137 Ph: (817) 920-0900 |
| NPI Number | 1447244975 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 07/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447244975 | NPI | - | NPPES |
| 084468001 | Medicaid | TX | |
| 00560X | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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