Organization
HEALTH 2 GO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELLE WRIGHT FNP (FAMILY NURSE PRACTITIONER)
(901) 830-7631
Entity
Organization
Contact information
Practice address
4229 BRIDGESTONE DR, FORT WORTH, TX 76123-8006
(901) 830-7631
Mailing address
4229 BRIDGESTONE DR, FORT WORTH, TX 76123-8006
(901) 830-7631
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP117318
TX
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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