Organization
NORTH CENTRAL TEXAS INFECTIOUS DISEASE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD TOMOYE DO (D.O./PRESIDENT)
(817) 921-1886
Entity
Organization
Contact information
Practice address
650 SAINT LOUIS AVE, FORT WORTH, TX 76104-3346
(817) 921-1886
Mailing address
1169 N BURLESON BLVD, SUITE 107-235, BURLESON, TX 76028-7011
(817) 921-1886
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
10/02/2013
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