# FORT WORTH MEDTEX LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDTEX OF FORT WORTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780969881
- **Authorized official:** DR. JAMES GREENWALD MD, PHD (QWNER)
- **Authorized official phone:** (314) 367-0777

## Contact information

- **Practice address:** 1307 8TH AVE, SUITE 603, FORT WORTH, TX 76104-4137
- **Practice address phone:** (817) 924-4700
- **Practice address fax:** (817) 924-4703
- **Mailing address:** 1034 S BRENTWOOD BLVD, SUITE 1250, SAINT LOUIS, MO 63117-1223
- **Mailing address phone:** (817) 924-4700
- **Mailing address fax:** (817) 924-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2011
- **Last updated:** 10/20/2011