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Organization

WATAUGA FAMILY PRACTICE PA

Active
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Organization

WATAUGA FAMILY PRACTICE PA

Active
Other names
North Tarrant Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT ALLAN HODGSON M.D. (PRESIDENT)
(817) 485-0161
Entity
Organization

Contact information

Practice address
5445 BASSWOOD BLVD, SUITE 650, FORT WORTH, TX 76137-4437
(817) 485-0161
(817) 485-9430
Mailing address
5445 BASSWOOD BLVD, SUITE 650, FORT WORTH, TX 76137-4437
(817) 485-0161
(817) 485-9430

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G2993
TX

Other

Enumeration date
11/06/2006
Last updated
08/22/2020
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