Organization
INFINIT MEN'S HEALTH CLINIC - FORT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE MCKENZIE KELLEHER (PHYSICIAN ASSISTANT)
(405) 550-4924
Entity
Organization
Contact information
Practice address
3728 BENBROOK HWY, FORT WORTH, TX 76116-9429
(682) 250-3362
Mailing address
3728 BENBROOK HWY, FORT WORTH, TX 76116-9429
(682) 250-3362
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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