Organization
THOMAS J TRESE DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TRESE DO (PRESIDENT)
(817) 292-7220
Entity
Organization
Contact information
Practice address
5801 OAKBEND TRL, SUITE 175, FORT WORTH, TX 76132-3924
(817) 292-7220
(817) 332-6230
Mailing address
5801 OAKBEND TRL, SUITE 175, FORT WORTH, TX 76132-3912
(817) 292-7220
(817) 332-6230
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F6142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128572801
—
TX
Enumeration date
02/17/2014
Last updated
11/06/2014
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