Organization
MILLARD L TIERCE IV DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLARD L TIERCE IV MD (OWNER)
(817) 944-4209
Entity
Organization
Contact information
Practice address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
Mailing address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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