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Individual

ALLEN BRUCE HORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5450 CLEARFORK MAIN ST STE 430, FORT WORTH, TX 76109-3559
(817) 984-1688
(817) 419-4494
Mailing address
5450 CLEARFORK MAIN ST STE 430, FORT WORTH, TX 76109-3559
(817) 984-1688
(817) 419-4494

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2042
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124164801
TX
05
124164806
TX
01
8CN892
BCBSTX
TX
Enumeration date
06/29/2006
Last updated
11/25/2019
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