Organization
MONITOR PROFESSIONALS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WYLIE (OWNER)
(817) 944-6222
Entity
Organization
Contact information
Practice address
7101 BRYANT IRVIN ROAD, #34504, FT. WORTH, TX 76162-5009
(817) 406-8350
Mailing address
7101 BRYANT IRVIN ROAD, #34504, FT. WORTH, TX 76162-5009
(817) 406-8350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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