Organization
TEXAS REPRODUCTIVE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M LEESA SALAMONE (BUSINESS MANAGER)
(817) 546-7442
Entity
Organization
Contact information
Practice address
1800 MISTLETOE BOULELVARD, SUITE 200, FORT WORTH, TX 76104
(817) 546-7442
(817) 570-0411
Mailing address
1800 MISTLETOE BOULELVARD, SUITE 200, FORT WORTH, TX 76104
(817) 546-7442
(817) 570-0411
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
45D1107754
TX
Other
Enumeration date
05/01/2009
Last updated
03/30/2010
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