| Tarrant County Infectious Disease Associates | |
|
1025 College Ave Fort Worth TX 76104-3013 | |
| (817) 806-5173 | |
| (817) 806-5178 |
| Full Name | Tarrant County Infectious Disease Associates |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1025 College Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Pam Dunaj (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8178109810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrant County Infectious Disease Associates Po Box 162464 Fort Worth TX 76161-2464 Ph: () - | Tarrant County Infectious Disease Associates 1025 College Ave Fort Worth TX 76104-3013 Ph: (817) 806-5173 |
| NPI Number | 1225358708 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225358708 | NPI | - | NPPES |
| CH8204 | Other | MEDICARE RR GROUP | |
| 00099K | Other | TX | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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