Organization
FORT WORTH PERSONAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DANIEL AKE D.O. (CEO/PROVIDER)
(682) 202-4585
Entity
Organization
Contact information
Practice address
4545 BELLAIRE DR S, SUITE 2, FORT WORTH, TX 76109-1889
(682) 202-4585
Mailing address
PO BOX 181055, ARLINGTON, TX 76096-1055
(682) 202-4585
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
P9785
TX
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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