# ADVANCED MEDICAL OF NORTH TEXAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871185306
- **Authorized official:** DR. SPENCER SHANLEY (OWNER)
- **Authorized official phone:** (817) 605-9500

## Contact information

- **Practice address:** 5500 N TARRANT PKWY STE 108, FORT WORTH, TX 76244-5392
- **Practice address phone:** (817) 605-9500
- **Practice address fax:** (817) 605-9503
- **Mailing address:** 5500 N TARRANT PKWY STE 108, FORT WORTH, TX 76244-5392
- **Mailing address phone:** (817) 605-9500
- **Mailing address fax:** (817) 605-9503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2021
- **Last updated:** 02/05/2021