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Organization

GERINATION MEDICAL CENTERS, LLC

Active
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Organization

GERINATION MEDICAL CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK ALLEN SANDERS DO (PRESIDENT & CEO)
(817) 713-9162
Entity
Organization

Contact information

Practice address
3437 W 7TH ST, FORT WORTH, TX 76107-2718
(817) 688-1588
(817) 423-7361
Mailing address
4811 MERLOT AVE UNIT 110, GRAPEVINE, TX 76051-7389
(817) 756-8800
(817) 756-6044

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9653
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
K9653
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
K9653
TX
209800000X
Legal Medicine (M.D./D.O.) Physician
K9653
TX

Other

Enumeration date
09/08/2014
Last updated
10/18/2021
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