Individual
DARRIN C D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2660
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
N3592
TX
207R00000X
Internal Medicine Physician
000503
CT
207R00000X
Internal Medicine Physician
Primary
N3592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197923901
—
TX
05
—
197923903
—
TX
01
—
8CV866
BCBS
TX
01
—
8X9569
BCBS
TX
Enumeration date
07/31/2006
Last updated
07/22/2011
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