| Fort Worth Family Practice Associated | |
|
8030 Camp Bowie W Fort Worth TX 76116-6313 | |
| (817) 244-4620 | |
| Not Available |
| Full Name | Fort Worth Family Practice Associated |
|---|---|
| Speciality | Family Medicine |
| Location | 8030 Camp Bowie W, Fort Worth, Texas |
| Authorized Official Name and Position | Sandra Ellis (OFFICE MANAGER) |
| Authorized Official Contact | 8172444620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Family Practice Associated 8030 Camp Bowie W Fort Worth TX 76116-6313 Ph: (817) 244-4620 | Fort Worth Family Practice Associated 8030 Camp Bowie W Fort Worth TX 76116-6313 Ph: (817) 244-4620 |
| NPI Number | 1356520134 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356520134 | NPI | - | NPPES |
| 00436N | Other | TX | BCBS |
| 8440J0 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
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