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Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
The Fort Worth MRI Group
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN MD (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
4400 OAK PARK LN, FORT WORTH, TX 76109-9534
(817) 207-9600
Mailing address
4400 OAK PARK LN, FORT WORTH, TX 76109-9534
(817) 207-9600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R24447
TX
Other
Enumeration date
03/29/2007
Last updated
10/09/2008
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