Individual
DANIEL JETTON MCGILVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1320 HEMPHILL ST STE 300, FORT WORTH, TX 76104-4716
(817) 336-1189
Mailing address
3455 LOCKE AVE STE 315, FORT WORTH, TX 76107-5747
(817) 336-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P3773
TX
Other
Enumeration date
06/15/2010
Last updated
07/11/2024
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