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Organization
TEXAS MEDICINE RESOURCES, LLP
Active
Organization
TEXAS MEDICINE RESOURCES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH I PORTER (DIRECTOR OF PROVIDER ENROLLMENT)
(817) 451-4208
Entity
Organization
Contact information
Practice address
6451 BRENTWOOD STAIR RD, SUITE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/04/2006
Last updated
12/28/2020
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