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Organization
TEXAS PHYSICIAN RESOURCES, LLP
Active
Organization
TEXAS PHYSICIAN RESOURCES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH I PORTER (DIRECTOR OF PROVIDER ENROLLMENT)
(817) 451-4208
Entity
Organization
Contact information
Practice address
6451 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3200
(817) 451-4208
(817) 563-3699
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639413289
—
TX
Enumeration date
11/20/2012
Last updated
04/12/2021
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