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Organization
BEVERLY HILLS PAIN MANAGEMENT
Active
Organization
BEVERLY HILLS PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M YAKER MD (OWNER)
(817) 926-5800
Entity
Organization
Contact information
Practice address
3019 SOUTH FWY, FORT WORTH, TX 76104-7234
(323) 868-8099
Mailing address
3019 SOUTH FWY, FORT WORTH, TX 76104-7234
(323) 868-8099
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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