Organization
FORT WORTH DIGESTIVE ASSOCIATES
Active
Organization
FORT WORTH DIGESTIVE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID AZIZ DO (OWNER)
(817) 885-7888
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 302, FORT WORTH, TX 76104-7400
(817) 885-7888
(817) 885-7811
Mailing address
PO BOX 470294, FORT WORTH, TX 76147-0294
(817) 885-7888
(817) 885-7811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074MU
BCBS GROUP NUMBER
TX
01
—
DD9949
MEDICARE RAILROAD
—
Enumeration date
05/15/2006
Last updated
10/23/2007
Update your record
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