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Organization
ADVANCED MEDICAL OF NORTH TEXAS PLLC
Active
Organization
ADVANCED MEDICAL OF NORTH TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER SHANLEY (OWNER)
(817) 605-9500
Entity
Organization
Contact information
Practice address
5500 N TARRANT PKWY STE 108, FORT WORTH, TX 76244-5392
(817) 605-9500
(817) 605-9503
Mailing address
5500 N TARRANT PKWY STE 108, FORT WORTH, TX 76244-5392
(817) 605-9500
(817) 605-9503
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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