Organization
EBOTAGBORNDANG MBI
Active
Other names
US Care
Organization subpart
No
Provider details
NPI number
Authorized official
EBOTAGBORNDANG MBI (DIRECTOR)
(713) 202-9177
Entity
Organization
Contact information
Practice address
3951 KIRBY DR, 532, FORT WORTH, TX 76155-3925
(713) 202-9177
(817) 684-3829
Mailing address
3951 KIRBY DR, 532, FORT WORTH, TX 76155-3925
(713) 202-9177
(817) 684-3829
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
TX
Other
Enumeration date
01/16/2008
Last updated
01/07/2009
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