Organization
FORT WORTH PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORVARID REZAIE DO (PHYSICIAN)
(817) 243-7995
Entity
Organization
Contact information
Practice address
800 8TH AVE STE 626, FORT WORTH, TX 76104-2605
(817) 243-7995
(844) 573-3209
Mailing address
800 8TH AVE STE 626, FORT WORTH, TX 76104-2605
(817) 243-7995
(817) 717-9494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164692026
NPI
TX
05
—
1765463
—
TX
Enumeration date
02/27/2018
Last updated
07/14/2020
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