| Thomas J Trese Do, Pa | |
|
5801 Oakbend Trl Suite 175 Fort Worth TX 76132-3924 | |
| (817) 292-7220 | |
| (817) 332-6230 |
| Full Name | Thomas J Trese Do, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 5801 Oakbend Trl, Fort Worth, Texas |
| Authorized Official Name and Position | Thomas Trese (PRESIDENT) |
| Authorized Official Contact | 8172927220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Trese Do, Pa 5801 Oakbend Trl Suite 175 Fort Worth TX 76132-3912 Ph: (817) 292-7220 | Thomas J Trese Do, Pa 5801 Oakbend Trl Suite 175 Fort Worth TX 76132-3924 Ph: (817) 292-7220 |
| NPI Number | 1174947881 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 11/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174947881 | NPI | - | NPPES |
| 128572801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F6142 (Texas) | Primary |
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