# F W FAMILY PRACTICE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568787182
- **Authorized official:** RAJA SAADE M.D. (OWNER)
- **Authorized official phone:** (817) 297-4455

## Contact information

- **Practice address:** 3256 LACKLAND RD, FORT WORTH, TX 76116-5307
- **Practice address phone:** (817) 297-4455
- **Mailing address:** 3256 LACKLAND RD, FORT WORTH, TX 76116-5307
- **Mailing address phone:** (817) 297-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2010
- **Last updated:** 04/07/2010
