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Organization
LEON S TIO MD PA
Active
Organization
LEON S TIO MD PA
Active
Other names
Clover Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE PHUAH DO (MEDICAL DOCTOR)
(214) 336-7643
Entity
Organization
Contact information
Practice address
800 8TH AVE STE 506, FORT WORTH, TX 76104-2604
(817) 386-2679
(817) 386-3632
Mailing address
800 8TH AVE STE 506, FORT WORTH, TX 76104-2604
(817) 386-3632
(866) 245-0073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/10/2023
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