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Organization
TEXAS CENTERS FOR INFECTIOUS DISEASE ASSOCIATES PA
Active
Organization
TEXAS CENTERS FOR INFECTIOUS DISEASE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KAY MCDONALD MD (PROVIDER)
(817) 810-9810
Entity
Organization
Contact information
Practice address
1025 COLLEGE AVE, FORT WORTH, TX 76104-3013
(817) 810-9811
(817) 810-9815
Mailing address
1025 COLLEGE AVE, FORT WORTH, TX 76104-3013
(817) 810-9810
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
Other
Enumeration date
05/15/2006
Last updated
01/04/2024
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