Individual
TAN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3025 N TARRANT PKWY STE 140, FORT WORTH, TX 76177-8625
(817) 972-3900
(866) 741-2679
Mailing address
3025 N TARRANT PKWY STE 140, FORT WORTH, TX 76177-8625
(817) 697-3900
(866) 741-2679
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
09/10/2019
Last updated
10/19/2020
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