Organization
FAMILY GERIATRICS PA
Active
Organization
FAMILY GERIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET C BASILIADIS D.O. (OWNER)
(817) 605-1707
Entity
Organization
Contact information
Practice address
5348 DAVIS BLVD, NORTH RICHLAND HILLS, TX 76180-6824
(817) 605-1707
(817) 605-1710
Mailing address
PO BOX 822426, NORTH RICHLAND HILLS, TX 76182-2426
(817) 605-1707
(817) 605-1710
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
K1776
TX
Other
Enumeration date
04/02/2008
Last updated
10/15/2008
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