Organization
FORT WORTH PERINATAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANI HURTADO (OFFICE MANAGER)
(817) 332-6667
Entity
Organization
Contact information
Practice address
1250 8TH AVE, SUITE 570, FORT WORTH, TX 76104-4146
(817) 332-6667
(817) 546-0946
Mailing address
1250 8TH AVE, SUITE 570, FORT WORTH, TX 76104-4146
(817) 332-6667
(817) 546-0946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131688707
—
TX
05
—
159572001
—
TX
05
—
159573801
—
TX
Enumeration date
05/09/2007
Last updated
07/23/2010
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