Organization
EMER NORTH FORT WORTH BEACH, LLC
Active
Other names
Surepoint Emergency Center North Fort Worth Beach
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NEWSOM (PRESIDENT)
(469) 830-8200
Entity
Organization
Contact information
Practice address
4551 WESTERN CENTER BLVD, FORT WORTH, TX 76137-2628
(817) 428-4055
(817) 428-4054
Mailing address
2300 MATLOCK RD STE 35, MANSFIELD, TX 76063-5018
(469) 830-8200
(469) 830-8201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
09/26/2024
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