Organization
STEPHEN'S PEDI & PULMONARY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK SOBANDE (CEO)
(682) 231-0207
Entity
Organization
Contact information
Practice address
900 JEROME ST, 102, FORT WORTH, TX 76104-3945
(682) 231-0207
(817) 922-0805
Mailing address
209 W 2ND ST, UNIT 201, FORT WORTH, TX 76102-3021
(682) 231-0207
(817) 922-0805
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
02/09/2016
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