Organization
MEDICAL CLINIC OF NORTH TEXAS PLLC
Active
Other names
USMD Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C JOHNSTON MD (CEO/CPO)
(214) 493-4015
Entity
Organization
Contact information
Practice address
5450 CLEARFORK MAIN STREET, SUITE 410, FORT WORTH, TX 76019-3559
(817) 505-0233
(817) 332-3172
Mailing address
2801 GATEWAY DRIVE, SUITE 100, IRVING, TX 75063-2694
(972) 847-0792
(817) 419-4605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
10/05/2018
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