Edge-md Rosedale, Pllc | |
3620 E Rosedale St Fort Worth TX 76105-2449 | |
(817) 531-7000 | |
(817) 535-3405 |
Full Name | Edge-md Rosedale, Pllc |
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Speciality | Family Medicine |
Location | 3620 E Rosedale St, 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 |
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Edge-md Rosedale, Pllc 2022 Regional Medical Dr Suite 1315 Wharton TX 77488-7231 Ph: (979) 532-2000 | Edge-md Rosedale, Pllc 3620 E Rosedale St Fort Worth TX 76105-2449 Ph: (817) 531-7000 |
NPI Number | 1861898611 |
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Provider Enumeration Date | 11/06/2014 |
Last Update Date | 01/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861898611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N0318 (Texas) | Primary |
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