| Som Physician Associates Pllc | |
|
4716 E Lancaster Ave Fort Worth TX 76103-3836 | |
| (817) 413-8000 | |
| Not Available |
| Full Name | Som Physician Associates Pllc |
|---|---|
| Speciality | General Practice |
| Location | 4716 E Lancaster Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Shamsideen Musa (PRESIDENT) |
| Authorized Official Contact | 7735527426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Som Physician Associates Pllc 4237 Crestfield Dr Richardson TX 75082-5301 Ph: (773) 552-7426 | Som Physician Associates Pllc 4716 E Lancaster Ave Fort Worth TX 76103-3836 Ph: (817) 413-8000 |
| NPI Number | 1972046209 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972046209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | Q4477 (Texas) | Primary |
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