Organization
UROLOGY CONSULTANTS OF FORT WORTH LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY A WORSHAM III M.D. (LIMITED PARTNER)
(817) 877-1288
Entity
Organization
Contact information
Practice address
800 8TH AVE, SUITE 626, FORT WORTH, TX 76104-2601
(817) 877-1288
(817) 877-5242
Mailing address
800 8TH AVE, SUITE 626, FORT WORTH, TX 76104-2601
(817) 877-1288
(817) 877-5242
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D8491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0814303-01
—
TX
Enumeration date
06/14/2007
Last updated
01/05/2010
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