Individual
DR. RICHARD CLARENCE NOVACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKVIEW DR, SUITE 560, FORT WORTH, TX 76102-5824
(817) 850-1100
(817) 850-1104
Mailing address
2501 PARKVIEW DR, SUITE 560, FORT WORTH, TX 76102-5824
(817) 850-1100
(817) 850-1104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09064000
NJ
208600000X
Surgery Physician
262332-1
NY
208600000X
Surgery Physician
Primary
Q9457
TX
Other
Enumeration date
06/25/2007
Last updated
11/17/2016
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