| Frontier Medical House Call Service Llc | |
|
308 Autumn Park Fort Worth TX 76140 | |
| (682) 552-3574 | |
| (800) 460-1764 |
| Full Name | Frontier Medical House Call Service Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 308 Autumn Park, Fort Worth, Texas |
| Authorized Official Name and Position | Olasimbo Odutayo (OWNER) |
| Authorized Official Contact | 8177294296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Medical House Call Service Llc 308 Autumn Park Fort Worth TX 76140-6524 Ph: (800) 460-1764 | Frontier Medical House Call Service Llc 308 Autumn Park Fort Worth TX 76140 Ph: (682) 552-3574 |
| NPI Number | 1326539552 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326539552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP131147 (Texas) | Primary |
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