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Organization

FYATT HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. OLUWAYEMISI AGBOOLA FNP (OWNER)
(267) 872-9756
Entity
Organization

Contact information

Practice address
1608 WINDSONG TRL, 615, FORT WORTH, TX 76120-4223
(267) 872-9756
Mailing address
1608 WINDSONG TRL, 615, FORT WORTH, TX 76120-4223
(267) 872-9756

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
798898
TX

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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