Organization
FORT WORTH SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD HUTCHISON DDS (OWNER)
(682) 429-6339
Entity
Organization
Contact information
Practice address
6025 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 361-5620
(817) 361-7060
Mailing address
6025 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 361-5620
(817) 361-7060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15049
TX
332BC3200X
Customized Equipment (DME)
Primary
15049
TX
Other
Enumeration date
08/25/2015
Last updated
10/27/2015
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