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Organization
JACK LYNWOOD JUDSON, MD
Active
Organization
JACK LYNWOOD JUDSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LYNWOOD JUDSON M.D. (OWNER)
(817) 732-8526
Entity
Organization
Contact information
Practice address
1800 MALIBAR RD, FORT WORTH, TX 76116-1834
(817) 732-7526
Mailing address
1800 MALIBAR RD, FORT WORTH, TX 76116-1834
(817) 732-7526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8715
TX
Other
Enumeration date
02/21/2015
Last updated
02/21/2015
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