Organization
BROZYNSKI MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS BROZYNSKI MD (PHYSICIAN)
(817) 253-0864
Entity
Organization
Contact information
Practice address
3409 WORTH HILLS DR, FORT WORTH, TX 76109-2950
(817) 253-0864
Mailing address
3409 WORTH HILLS DR, FORT WORTH, TX 76109-2950
(817) 253-0864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L2823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154147601
—
TX
01
—
P00116441
MEDICARE RR
TX
Enumeration date
06/05/2007
Last updated
12/10/2012
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