Foundation Family Practice Pllc | |
3120 Capital Way Unit 602 Fort Worth TX 76177-4305 | |
(714) 704-3345 | |
(714) 704-3463 |
Full Name | Foundation Family Practice Pllc |
---|---|
Speciality | Internal Medicine |
Location | 3120 Capital Way Unit 602, Fort Worth, Texas |
Authorized Official Name and Position | Oladotun Olushola Akinmurele (CEO) |
Authorized Official Contact | 8177043345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundation Family Practice Pllc 3120 Capital Way Unit 602 Fort Worth TX 76177-4305 Ph: (714) 704-3345 | Foundation Family Practice Pllc 3120 Capital Way Unit 602 Fort Worth TX 76177-4305 Ph: (714) 704-3345 |
NPI Number | 1699516914 |
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Provider Enumeration Date | 06/03/2024 |
Last Update Date | 06/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699516914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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