Organization
TESS, PA
Active
Other names
Fort Worth Surgical Specialist, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN L CARR M.D. (PRESIDENT)
(817) 877-5871
Entity
Organization
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 200, FORT WORTH, TX 76104-2158
(817) 332-9957
(817) 336-3130
Mailing address
1325 PENNSYLVANIA AVE, SUITE 200, FORT WORTH, TX 76104-2158
(817) 877-5871
(817) 336-3130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154666501
—
TX
Enumeration date
05/16/2006
Last updated
08/31/2011
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