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Organization
NORTH CENTRAL TEXAS INFECTIOUS DISEASE GROUP PA
Active
Organization
NORTH CENTRAL TEXAS INFECTIOUS DISEASE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD TOMOYE DO (D.O./PRESIDENT)
(817) 921-1886
Entity
Organization
Contact information
Practice address
650 SAINT LOUIS AVE, FORT WORTH, TX 76104-3346
(817) 921-1886
Mailing address
1169 N BURLESON BLVD, SUITE 107-235, BURLESON, TX 76028-7011
(817) 921-1886
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
10/02/2013
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