Organization
CENTRO MEDICAL GUADALUPE
Active
Parent organization
FLORES MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORES MANAGEMENT
Authorized official
MRS. MARYNA LOMBARD (OFFICE MANAGER)
(972) 355-1831
Entity
Organization
Contact information
Practice address
1220 N MAIN ST, FORT WORTH, TX 76164-9168
(817) 378-0777
(817) 378-9522
Mailing address
1220 N MAIN ST, FORT WORTH, TX 76164-9168
(817) 378-0777
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H4919
TX
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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