Organization
THE FORT WORTH CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HIGHFIELD (ADMINISTRATOR)
(817) 336-7191
Entity
Organization
Contact information
Practice address
909 9TH AVE, STE 300, FORT WORTH, TX 76104-3903
(817) 336-7191
(817) 332-3172
Mailing address
909 9TH AVE, STE 300, FORT WORTH, TX 76104-3903
(817) 336-7191
(817) 332-3172
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
Other
Enumeration date
07/26/2005
Last updated
07/21/2022
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