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Organization
FORT WORTH HEALTH ALLIANCE, LLC
Active
Organization
FORT WORTH HEALTH ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIDEON TRAWEEK DC (AUTHORIZED OFFICIAL)
(817) 498-7333
Entity
Organization
Contact information
Practice address
3625 WESTERN CENTER BLVD, FORT WORTH, TX 76137-1936
(817) 498-7333
Mailing address
3625 WESTERN CENTER BLVD, FORT WORTH, TX 76137-1936
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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