Organization
FORT WORTH CLINIC SPECIALTY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JAY ZIMMERMANN M.D. (MANAGING MEMBER)
(817) 454-7965
Entity
Organization
Contact information
Practice address
212 CATTLEBARON PARK DR, FORT WORTH, TX 76108-9512
(817) 454-7965
Mailing address
212 CATTLEBARON PARK DR, FORT WORTH, TX 76108-9512
(817) 454-7965
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F2508
TX
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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