| Jack Lynwood Judson, Md | |
|
1800 Malibar Rd Fort Worth TX 76116-1834 | |
| (817) 732-7526 | |
| Not Available |
| Full Name | Jack Lynwood Judson, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Malibar Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Jack Lynwood Judson (OWNER) |
| Authorized Official Contact | 8177328526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Lynwood Judson, Md 1800 Malibar Rd Fort Worth TX 76116-1834 Ph: (817) 732-7526 | Jack Lynwood Judson, Md 1800 Malibar Rd Fort Worth TX 76116-1834 Ph: (817) 732-7526 |
| NPI Number | 1902298417 |
|---|---|
| Provider Enumeration Date | 02/21/2015 |
| Last Update Date | 02/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902298417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C8715 (Texas) | Primary |
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