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Organization

LOUIS L. STROCK, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARRIE KELLER (CLINIC COORDINATOR)
(817) 335-1616
Entity
Organization

Contact information

Practice address
800 8TH AVE, SUITE 606, FORT WORTH, TX 76104-2601
(817) 335-1616
(817) 335-1648
Mailing address
800 8TH AVE, SUITE 606, FORT WORTH, TX 76104-2601
(817) 335-1616
(817) 335-1648

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2014
TX

Other

Enumeration date
12/13/2010
Last updated
12/13/2010
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