Trinity Diagnostic Clinic, Pa | |
909 9th Ave Suite 405 Fort Worth TX 76104-3903 | |
(817) 332-2009 | |
(817) 877-0122 |
Full Name | Trinity Diagnostic Clinic, Pa |
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Speciality | Internal Medicine |
Location | 909 9th Ave, Fort Worth, Texas |
Authorized Official Name and Position | Kosuri B. Raju (OWNER) |
Authorized Official Contact | 8173322009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Trinity Diagnostic Clinic, Pa Po Box 33908 Fort Worth TX 76162-3908 Ph: (817) 332-2009 | Trinity Diagnostic Clinic, Pa 909 9th Ave Suite 405 Fort Worth TX 76104-3903 Ph: (817) 332-2009 |
NPI Number | 1801154125 |
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Provider Enumeration Date | 04/24/2012 |
Last Update Date | 04/24/2012 |
Identifier | Type | State | Issuer |
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1801154125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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