Organization
TEXAS MEDICAL AND NEUROPATHY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARCHESE (CREDENTIALING MANAGER)
(214) 205-4995
Entity
Organization
Contact information
Practice address
2121 N MAIN ST STE B, FORT WORTH, TX 76164-8593
(871) 624-7222
Mailing address
2121 N MAIN ST STE B, FORT WORTH, TX 76164-8593
(871) 624-7222
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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