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Organization
FIRST STEP TREATMENT CENTER INC
Active
Organization
FIRST STEP TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKOLA T AMUDIPE VIII MD (MEDICAL DIRECTOR)
(817) 440-4247
Entity
Organization
Contact information
Practice address
6324 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3136
(817) 440-4247
Mailing address
6324 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3136
(817) 440-4247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
07/29/2021
Last updated
02/07/2022
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