Individual
DR. CRAIG CHARLES KNETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 W MAGNOLIA AVE, SUITE 202, FORT WORTH, TX 76104-4009
(817) 922-7800
(817) 922-7801
Mailing address
900 W MAGNOLIA AVE, SUITE 201, FORT WORTH, TX 76104-8517
(817) 921-6166
(817) 921-9594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924326-03
—
TX
Enumeration date
05/02/2006
Last updated
07/24/2009
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