Individual
DR. JORDAN KENT FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101262422
VA
2085R0202X
Diagnostic Radiology Physician
BP10043649
TX
2085R0202X
Diagnostic Radiology Physician
Primary
Q8716
TX
Other
Enumeration date
06/18/2012
Last updated
06/05/2024
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