Organization
ER OF WATAUGA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBAS R MIAN MD (PRESIDENT)
(214) 906-8899
Entity
Organization
Contact information
Practice address
5401 BASSWOOD BLVD, FORT WORTH, TX 76137-6909
(179) 455-5008
(817) 945-5600
Mailing address
5401 BASSWOOD BLVD, FORT WORTH, TX 76137-6909
(179) 455-5008
(817) 945-5600
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2021
Last updated
02/27/2025
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