| University Family Medical Clinic P.a. | |
|
117 University Dr Fort Worth TX 76107-1922 | |
| (817) 338-0555 | |
| (817) 338-4039 |
| Full Name | University Family Medical Clinic P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 117 University Dr, Fort Worth, Texas |
| Authorized Official Name and Position | H Thomas Willard (OWNER) |
| Authorized Official Contact | 8173380555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family Medical Clinic P.a. 117 University Dr Fort Worth TX 76107-1922 Ph: (817) 338-0555 | University Family Medical Clinic P.a. 117 University Dr Fort Worth TX 76107-1922 Ph: (817) 338-0555 |
| NPI Number | 1407049034 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407049034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H0939 (Texas) | Primary |
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