Organization
CARDIOLOGY AND ELECTROPHYSIOLOGY CLINIC FORT WORTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA MIDDLEBROOKS (CREDENTIALING)
(682) 239-9532
Entity
Organization
Contact information
Practice address
1001 12TH AVE STE 134, FORT WORTH, TX 76104-3927
(817) 368-6480
Mailing address
1001 12TH AVE STE 134, FORT WORTH, TX 76104-3927
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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