| Centerwell Senior Primary Care- Camp Bowie West | |
|
9108 Camp Bowie West Blvd Fort Worth TX 76116-6098 | |
| (682) 990-6492 | |
| (877) 688-9560 |
| Full Name | Centerwell Senior Primary Care- Camp Bowie West |
|---|---|
| Speciality | Internal Medicine |
| Location | 9108 Camp Bowie West Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care- Camp Bowie West 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care- Camp Bowie West 9108 Camp Bowie West Blvd Fort Worth TX 76116-6098 Ph: (682) 990-6492 |
| NPI Number | 1518696673 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518696673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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