# MEDICAL EDGE HEALTHCARE GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kyle Hoogendoorn DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780825794
- **Authorized official:** CLAY HEIGHTEN (PRESIDENT)
- **Authorized official phone:** (972) 739-3001

## Contact information

- **Practice address:** 1001 12TH AVE STE 160, FORT WORTH, TX 76104-3926
- **Practice address phone:** (817) 336-1189
- **Practice address fax:** (817) 877-5665
- **Mailing address:** 1001 12TH AVE STE 160, FORT WORTH, TX 76104-3926
- **Mailing address phone:** (817) 336-1189
- **Mailing address fax:** (817) 877-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2009
- **Last updated:** 05/26/2009