Organization
CLINICAS SIN FRONTERAS FORT WORTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO MATA (OWNER)
(214) 926-0298
Entity
Organization
Contact information
Practice address
106 E SEMINARY DR, FORT WORTH, TX 76115-2632
(817) 439-9146
Mailing address
2312 CONROE CT, FLOWER MOUND, TX 75028-2376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/18/2023
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