Organization
UNIVERSITY FAMILY MEDICAL CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H THOMAS WILLARD D.O. (OWNER)
(817) 338-0555
Entity
Organization
Contact information
Practice address
117 UNIVERSITY DR, FORT WORTH, TX 76107-1922
(817) 338-0555
(817) 338-4039
Mailing address
117 UNIVERSITY DR, FORT WORTH, TX 76107-1922
(817) 338-0555
(817) 338-4039
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H0939
TX
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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