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Organization

JOHN L. FEWINS, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN L FEWINS JR. M.D. (PRESIDENT/PHYSICIAN)
(817) 335-0368
Entity
Organization

Contact information

Practice address
800 8TH AVE, STE 336, FORT WORTH, TX 76104-2601
(817) 335-0368
Mailing address
800 8TH AVE, STE 336, FORT WORTH, TX 76104-2601
(817) 335-0368

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L6377
TX

Other

Enumeration date
10/17/2007
Last updated
10/17/2007
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