| Fortis Med Incorporated | |
|
12417 Bella Vino Dr Fort Worth TX 76126-4929 | |
| (817) 239-1071 | |
| (817) 782-9468 |
| Full Name | Fortis Med Incorporated |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 12417 Bella Vino Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Savita Kurup (PRESIDENT) |
| Authorized Official Contact | 8172391071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortis Med Incorporated 12417 Bella Vino Dr Fort Worth TX 76126-4929 Ph: (817) 239-1071 | Fortis Med Incorporated 12417 Bella Vino Dr Fort Worth TX 76126-4929 Ph: (817) 239-1071 |
| NPI Number | 1790527174 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790527174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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