Organization
FW NMC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LOWE (BILLING)
(817) 485-5100
Entity
Organization
Contact information
Practice address
1400 W 7TH ST, FORT WORTH, TX 76102-2625
(817) 485-5100
(817) 485-5101
Mailing address
PO BOX 101572, FORT WORTH, TX 76185-1572
(817) 485-5100
(817) 485-5101
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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