| Brozynski Medical Clinic, Pa | |
|
3409 Worth Hills Dr Fort Worth TX 76109-2950 | |
| (817) 253-0864 | |
| Not Available |
| Full Name | Brozynski Medical Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3409 Worth Hills Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Kris Brozynski (PHYSICIAN) |
| Authorized Official Contact | 8172530864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brozynski Medical Clinic, Pa 3409 Worth Hills Dr Fort Worth TX 76109-2950 Ph: (817) 253-0864 | Brozynski Medical Clinic, Pa 3409 Worth Hills Dr Fort Worth TX 76109-2950 Ph: (817) 253-0864 |
| NPI Number | 1396947917 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396947917 | NPI | - | NPPES |
| 154147601 | Medicaid | TX | |
| P00116441 | Other | TX | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L2823 (Texas) | Primary |
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