Organization
LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDELIS K UNINI M.D (MEDICAL DIRECTOR)
(817) 301-2053
Entity
Organization
Contact information
Practice address
609 HEMPHILL ST, SUITE 101, FORT WORTH, TX 76104-4137
(817) 923-8484
(817) 923-8494
Mailing address
609 HEMPHILL ST, SUITE 101, FORT WORTH, TX 76104-4137
(817) 923-8484
(817) 923-8494
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M5959
TX
Other
Enumeration date
02/24/2007
Last updated
04/16/2014
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