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Organization
PEDIATRIC URGENT CARE CENTER OF NORTH TEXAS
Active
Organization
PEDIATRIC URGENT CARE CENTER OF NORTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL COWAN D.O. (OWNER)
(817) 271-4309
Entity
Organization
Contact information
Practice address
3400 TEXAS SAGE TRL, 148, FORT WORTH, TX 76177-8603
(817) 271-4309
(817) 750-7336
Mailing address
3400 TEXAS SAGE TRL, 148, FORT WORTH, TX 76177-8603
(817) 271-4309
(817) 750-7336
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H9459
TX
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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