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Individual

DR. KWAKU A OSAFO-MENSAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2550 RIVER PARK DR, SUITE 100, FORT WORTH, TX 76116-0921
(817) 348-9015
(817) 348-9017
Mailing address
2550 RIVER PARK PLZ, SUITE 100, FORT WORTH, TX 76116-0920
(817) 348-9015
(817) 348-9017

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L9835
TX
207RP1001X
Pulmonary Disease Physician
Primary
L9835
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173863501
TX
Enumeration date
08/11/2005
Last updated
02/17/2015
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