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Organization
ALL HEALTHCARE MEDICAL CLINIC PLLC
Active
Organization
ALL HEALTHCARE MEDICAL CLINIC PLLC
Active
Other names
BEACH MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BAO VINH NGUYEN-PHUC MD (OWNER)
(817) 831-0034
Entity
Organization
Contact information
Practice address
1413 N BEACH ST, FORT WORTH, TX 76111-6614
(817) 831-0034
Mailing address
1413 N BEACH ST, FORT WORTH, TX 76111-6614
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
K8667
TX
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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