Organization
CARENOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE SALES FORTE PA (PHYSICIAN ASSISTANT)
(817) 832-2964
Entity
Organization
Contact information
Practice address
7400 MCCART AVE, FORT WORTH, TX 76133-7270
(817) 294-1651
Mailing address
324 INDIAN BLANKET DR, BURLESON, TX 76028-2586
(817) 832-2964
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
TEMPORARY LICENSE
TX
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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