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Organization
FORT WORTH CANCER CARE, PLLC
Active
Organization
FORT WORTH CANCER CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE CANTU PT (CEO)
(469) 607-5966
Entity
Organization
Contact information
Practice address
1020 MACON ST STE 9, FORT WORTH, TX 76102-4562
(469) 607-5966
Mailing address
1020 MACON ST STE 9, FORT WORTH, TX 76102-4562
(469) 607-5966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
03/29/2025
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