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Organization

FRONTIER MEDICAL HOUSE CALL SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLASIMBO ODUTAYO NP (OWNER)
(817) 729-4296
Entity
Organization

Contact information

Practice address
308 AUTUMN PARK, FORT WORTH, TX 76140
(682) 552-3574
(800) 460-1764
Mailing address
308 AUTUMN PARK, FORT WORTH, TX 76140-6524
(800) 460-1764
(800) 467-8597

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP131147
TX

Other

Enumeration date
05/23/2018
Last updated
07/13/2018
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