| Edge-md Meadowbrook, Pllc | |
|
6302 Meadowbrook Dr Suite 112 Fort Worth TX 76112-5162 | |
| (817) 446-0800 | |
| (817) 446-0802 |
| Full Name | Edge-md Meadowbrook, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6302 Meadowbrook Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Nathan P. Nguyen (MD/OWNER) |
| Authorized Official Contact | 9795322000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edge-md Meadowbrook, Pllc 2022 Regional Medical Dr Suite 1315 Wharton TX 77488-7231 Ph: (979) 532-2000 | Edge-md Meadowbrook, Pllc 6302 Meadowbrook Dr Suite 112 Fort Worth TX 76112-5162 Ph: (817) 446-0800 |
| NPI Number | 1134526007 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134526007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N0318 (Texas) | Primary |
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