| 4healthfmc | |
|
6138 Walraven Cir Ste A&b Fort Worth TX 76133-2769 | |
| (817) 292-5000 | |
| (817) 292-5001 |
| Full Name | 4healthfmc |
|---|---|
| Speciality | Family Medicine |
| Location | 6138 Walraven Cir, Fort Worth, Texas |
| Authorized Official Name and Position | Esiquiel P Olivarez (PHYSICIAN) |
| Authorized Official Contact | 8172925000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4healthfmc 6138 Walraven Cir Ste A&b Fort Worth TX 76133-2769 Ph: (817) 292-5000 | 4healthfmc 6138 Walraven Cir Ste A&b Fort Worth TX 76133-2769 Ph: (817) 292-5000 |
| NPI Number | 1083955181 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083955181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1684 (Texas) | Primary |
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