| Fort Worth Health Alliance, Llc | |
|
3625 Western Center Blvd Fort Worth TX 76137-1936 | |
| (817) 498-7333 | |
| Not Available |
| Full Name | Fort Worth Health Alliance, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3625 Western Center Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Gideon Traweek (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8174987333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Health Alliance, Llc 3625 Western Center Blvd Fort Worth TX 76137-1936 Ph: () - | Fort Worth Health Alliance, Llc 3625 Western Center Blvd Fort Worth TX 76137-1936 Ph: (817) 498-7333 |
| NPI Number | 1376053215 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376053215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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