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Organization
FOSSIL CREEK FAMILY MEDICAL CENTER
Active
Organization
FOSSIL CREEK FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE SIMONAK DO (OWNER)
(817) 498-1818
Entity
Organization
Contact information
Practice address
7510 N BEACH ST, FORT WORTH, TX 76137
(817) 498-1818
(817) 581-3761
Mailing address
7500 N BEACH ST, FORT WORTH, TX 76137-1505
(817) 498-1818
(817) 581-3761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
03/15/2019
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