Organization
GORDON G. MCWATT, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON G. MCWATT D.O. (PRESIDENT)
(817) 457-9850
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST, SUITE 500, FORT WORTH, TX 76112-2384
(817) 457-9850
(817) 287-0001
Mailing address
5601 BRIDGE ST, SUITE 500, FORT WORTH, TX 76112-2384
(817) 457-9850
(817) 287-0001
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
J6589
TX
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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