Individual
AUTUMN SAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1300 W ROSEDALE ST STE A, FORT WORTH, TX 76104-2824
(817) 730-5300
(817) 989-6819
Mailing address
PO BOX 3409, PFLUGERVILLE, TX 78691-3409
(513) 252-7792
(513) 904-5908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q2848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366545701
—
TX
05
—
366545702
—
TX
05
—
366545703
—
TX
Enumeration date
04/25/2012
Last updated
09/21/2020
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