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Organization
PETER J DAMICO MD PA
Active
Organization
PETER J DAMICO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J DAMICO MD (PRESIDENT)
(817) 738-9268
Entity
Organization
Contact information
Practice address
6010 CURZON AVE, FORT WORTH, TX 76116-5531
(817) 738-9268
(817) 738-9271
Mailing address
6010 CURZON AVE, FORT WORTH, TX 76116-5531
(817) 738-9268
(817) 738-9271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080018812
RAILROAD MEDICARE
TX
05
—
114601102
—
TX
Enumeration date
09/19/2014
Last updated
09/19/2014
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