| Cowtown Pediatrix Clinic, Llc | |
|
4011 Benbrook Hwy Ste C Fort Worth TX 76116-7800 | |
| (817) 386-5500 | |
| (817) 386-5500 |
| Full Name | Cowtown Pediatrix Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4011 Benbrook Hwy Ste C, Fort Worth, Texas |
| Authorized Official Name and Position | Sue Khammar (PRESIDENT/MANAGER) |
| Authorized Official Contact | 8713865500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowtown Pediatrix Clinic, Llc 4011 Benbrook Hwy Ste C Fort Worth TX 76116-7800 Ph: (817) 386-5500 | Cowtown Pediatrix Clinic, Llc 4011 Benbrook Hwy Ste C Fort Worth TX 76116-7800 Ph: (817) 386-5500 |
| NPI Number | 1821489121 |
|---|---|
| Provider Enumeration Date | 02/09/2015 |
| Last Update Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821489121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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